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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
@heavyphil When we got a 2nd opinion on my 3+4, (instead of a coin toss & with no way of knowing which was right) I made the decision (even before the results came back) to get treated to whichever was the highest Gleason:
> should the 2nd opinion come back a 3+3, I would still get treated to the 3+4;
> should the 2nd opinion come back a 3+4, I would (of course) get treated to the 3+4;
> should the 2nd opinion come back a 4+3, I would get treated to the 4+3.
As it turned out the 2nd opinion came back a 4+3, so we simply added 6 months of ADT to the 28 proton radiation treatments.
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@brianjarvis Well, Brian, maybe in your case the coin toss wasn’t necessary - you WERE getting treated, no matter what.
In the other case, one man thinks he sees one thing on a slide- another sees something else. That difference of opinion ONLY - a visual impression in fact - is the arbiter of continued AS or the plunge down the rabbit hole of treatment, with all its SE’s, warts and all. When you think of the difference physically between ‘we’ll see’ or ‘you need surgery’ it really IS a big deal. Kind of like guilty or innocent based on nothing more than your looks…Best,
Phil