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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: 3 days ago | Replies (136)Comment receiving replies
@jc76 I received a copy of the results directly from Decipher. My high range number was 0.84 which led to Decipher recommending a multi-modal treatment plan (radiation/surgery plus ADT). My RO disagreed with that plan and convinced me that ADT was not necessary or desirable. So far, he seems to have been right.
Replies to "@jc76 I received a copy of the results directly from Decipher. My high range number was..."
@dgd1953 A 3+4 case usually does not get prescribed ADT. However, I was a 3+4 like you but with a Decipher 0.81, which is a little less than your 0.84 score. I can tell you that most RO's believe that a 3+4 case with a high Decipher score believe that ADT is needed for safe treatment and low odds of recurrence. My local RO at Baylor Scott and White in College Station, TX believed 2 years was necessary! A visiting RO said that he would only prescribe 6 months for my case. I then sought more advice at MD Anderson in Houston and three RO's there all agreed that one year of ADT was best for my case.
Based on my experience with 5 RO's and three of them from a renowned Center of Excellence, it seems your RO is an outlier with his opinion on ADT not being beneficial for a 3+4 case with a high Decipher score. Hopefully, your luck will hold on this and you will never have a recurrence.
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@dgd1953 What was the reason for disagreeing with the Decipher score? That’s a pretty high score to just brush off.
Unless you had severe comorbidities ADT is not dangerous short term.
Orgovyx would have been better than Lupron - I will go along with that.
Phil