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Gleason 3+4 A.S. or treatment?

Prostate Cancer | Last Active: Jan 13 12:14pm | Replies (33)
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Profile picture for ezupcic @ezupcic

Quick Question. Do you know what the conditions are to be a candidate for SBRT? Also you mentioned the transperineal biopsy. What was that like compared to the Trus biopsy? If you were to stay on AS at what point would that decision change and you would seek treatment?

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Replies to "Quick Question. Do you know what the conditions are to be a candidate for SBRT? Also..."
Jeff Marchi | @jeffmarc | Jan 9 11:26am

@ezupcic
If the cancer was isolated to the prostate, The Gleason score is not too high, Then SBRT is a good decision. My brother had it done at 77 with the Gleason score of 4+3.

ATRUS biopsy is transrectal not transperennial. Has a higher risk of infection.

You can have the same ultrasound guided Biopsy that is transperennial. I read a couple of days ago that’s the only thing Mayo does now.

As to when to stop AS, There’s a lot of factors involved. Are you only Gleason 3+3? If 3+4 is it a very small percentage of four? You could probably get a better feel for what the answer is by watching these videos.

Here is a video with Dr. Laurence Klotz, one of the experts on active surveillance. He can give you answers as to why you would or would not be a good candidate for active surveillance.


Here is a video by Dr. Epstein discussing active surveillance and more

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