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← Return to ADT, maybe not? Anyone opted out of ADT?
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ADT, maybe not? Anyone opted out of ADT?
Prostate Cancer | Last Active: 29 minutes ago | Replies (84)Comment receiving replies
I was the same boat PSA 8.5 Gleason 4 + 3 dechipher score .59 Had a prostate removal. Four months PSA
was .19 3 months later .85 PETSMA showed 1 lymph node on the pelvic bone. Now took ADT shot today
4 weeks till radiation 5 weeks 5 days a week. Hope that its done after that
Replies to "I was the same boat PSA 8.5 Gleason 4 + 3 dechipher score .59 Had a..."
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@wilke333
This recurrence is pretty quick.
Were any of these things found in the biopsy intraductal, cribriform, Seminal vesicle invasion, EPE or ECE. (Extraprostatic extensions extra capsular extensions). They can make the cancer much more aggressive.
I went 3 1/2 years after surgery before my PSA started rising and I had radiation. I was a 4+3, but had BRCA2, which makes my cancer much more aggressive. Besides that factor, it still took 3 1/2 years not months.
Your cancer is very treatable, but a cure is not in the picture. The best option is you will be in Remission for a while. Because it came back so quickly, they may want to continue ADT, To prevent yourself from becoming Castrate resistant, you should also ask to be on an ARPI.
You should speak to your doctor and ask why they think your cancer reoccurred so quickly.
During surgery, they frequently remove lymph nodes. Did they do that in your case? Something else to ask the doctor.
You could get genetic testing to find out if it could be a factor. Does anybody else in your family have cancer? You can get it here for free, takes 2 to 3 weeks to get the results and a genetic counselor will call you. They will send you a kit that you return in the mail. You have to live in the USA to get this test for free.
Prostatecancerpromise.org