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Profile picture for Jeff Marchi @jeffmarc

I should’ve commented on your particular case.

With that high A decipher score You need to be careful.

One 3+3 and one 3+4 is not a major case yet. What percentage of Tumor was found in the 3+4 and what percentage of it was a 4?

That’s pretty critical to find out whether or not you have to do something immediately. If it’s only five or 10% of four, then you might be able to do active surveillance for a little while.

I’m not sure you’ve seen these videos. They discusses who is a good case for AS.

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 "I should’ve commented on your particular case. With that high A decipher score You need to..."

@jeffmarc
Thanks, good comments as usual. Here's the percentage of cancer in my biopsy cores you asked about:
A. Prostate, lesion 1, biopsy:
- Adenocarcinoma of the prostate, Grade Group 2 (Gleason Score 3+4 = 7/10), in 3 of 3 cores, involving 45% of needle core
by volume
- Gleason pattern 4 comprises 15% of tumor volume
- Perineural invasion is identified.
B. Prostate, lesion 2, biopsy:
- Adenocarcinoma of the prostate, Grade Group 1 (Gleason Score 3+3 = 6/10), in 1 of 3 cores, involving 5% of needle core
by volume
- Perineural invasion is not identified.