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kyndats avatar

Recently diagnosed stage 1 prostate cancer

Prostate Cancer | Last Active: Nov 21, 2025 | Replies (31)

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Profile picture for Jeff Marchi @jeffmarc

Have you had an MRI to see if there are tumors in your prostate and if so, what the PIRADS Score is for them. A biopsy only checks about 1% of your prostate. They could’ve missed whatever caused the high decipher score.

A Gleason six doesn’t call for anything besides actress surveillance unless you have more than six cores that are 3+3..

Was anything else found on the biopsy besides 3+3 cores?

The decipher score is very high, but what is causing it to be so high. There’s something else in that sample that shows that you probably have aggressive cancer. Need to take a close look at the decipher score findings.

It might make sense to get a PSMA Pet scan. Not sure insurance would cover it with the low Gleason score. That could at least show if there was prostate cancer found somewhere in your body.

A PSE test could be done to determine whether or not prostate cancer was found. That test is used to decide whether or not to have a biopsy, If it finds no prostate cancer, you don’t need it.

Just coming up with a few different things to think about. Your situation is very strange.

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Replies to "Have you had an MRI to see if there are tumors in your prostate and if..."

@jeffmarc
MRI showed 2 lesions, one 0.5 cm PI-RADS 4 and one 1.3cm PI-RADS 3. Biopsy of lesions came back benign. 2 cores from right base prostate came back positive for adenocarcinoma Gleason score 3+3. The remaining 10 random core samples came back negative. I was wondering about the PSMA Pet scan. Thanks for mentioning that and for your response.