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bob1955 avatar

ADT, maybe not? Anyone opted out of ADT?

Prostate Cancer | Last Active: 3 days ago | Replies (136)

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Profile picture for wwsmith @wwsmith

@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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Replies to "@dgd1953 A 3+4 case usually does not get prescribed ADT. However, I was a 3+4 like..."

@wwsmith I agree that my RO is likely an outlier, but that doesn’t mean he’s wrong. Your experience with ROs telling you 6 months, 1 year, or 2 years illustrates the fact that there is some uncertainty even amongst these “experts”. Now that I’m receiving treatment for a newly diagnosed heart condition, I’m especially glad that I had no ADT which can increase heart risks.