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← Return to Treatment for prostate Gleason 3+4=7 PSA 10 75 years old. treqemr?
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Treatment for prostate Gleason 3+4=7 PSA 10 75 years old. treqemr?
Prostate Cancer | Last Active: Dec 2, 2025 | Replies (28)Comment receiving replies
My brother had 5 sessions of SBRT radiation at 77. They did give him a six month Lupron shot. Took him almost a year for the side effects to go away. He’s now 80 and his PSA is just fine.
He was a Geason 4+3. A 3+4 probably doesn’t need Lupron.
You might be able to get cryotherapy, TULSA Pro or some other form of focal therapy.
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.
Replies to "My brother had 5 sessions of SBRT radiation at 77. They did give him a six..."
@jeffmarc
I had the SBRT radiation, 40 sessions, in 2020 at age 77. Took lupron and ADT for one year. PSA stayed near zero until 2025. MRI and PSMA Petscan showed metastatic prostate cancer in right 2nd rib and also at spine T7. Had to go through 10 EBRT radiations. Now on ADT and Lupron, under pain management. Waiting to see what PSA does next.
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@jeffmarc Not aware of the things you mentioned in the biopsy. Yes looking at cryotherapy. Do you know anyone that has had that and successful? I am told less side effects than radiation. Comment if you can. Thanks.