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Prostate Cancer Gleason 6 Group 1 + Hypogonadism
Prostate Cancer | Last Active: Jan 5 11:24am | Replies (11)Comment receiving replies
I am a Gleason 6. I have been on TRT for about 6 years and was diagnosed with the prostate cancer about 3 years ago. Both my original urologist who recommended A/S and my new urologist at the Mayo Clinic are both okay with me staying on TRT. I believe if my cancer ever got to Gleason 8, metastases, then the TRT would have to stop.
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@bobgolf How often are PSA’s and biopsies performed? I would think you’d have to be monitored very closely.
And they probably are not going to wait for G8/metastases to stop TRT - that’s like waiting for the whole block to catch fire before calling the fire department!
And worse, you would probably never be on TRT again after rounds of treatment involving heavy duty ADT.
You might want to reconsider gland removal if your Gleason ever gets to a 3+4 - IF your age and medical condition allow for it. Or radiation without ADT. Complete removal - before any spread - is the only way your TRT is going to continue smoothly. Radiation may not get it all if you have certain pathologies in your biopsy, but that’s to be determined.
And just an FYI, I am NOT a big believer in ‘when in doubt, cut it out’…but sometimes prophylactic removal of a body part does help you live a lot longer and better! Best,
Phil