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higgins56 avatar

Gleason 3+4 A.S. or treatment?

Prostate Cancer | Last Active: Jan 13 12:14pm | Replies (33)

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Profile picture for jeff Marchi @jeffmarc

@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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Replies to "@ezupcic If the cancer was isolated to the prostate, The Gleason score is not too high,..."

@jeffmarc appreciate the response as always. Do you know whether men with an enlarged prostate (i.e. 70 ml or higher) are disqualified as candidates for treatments like HIFU and or SBRT?