Replies to @wwsmith granted 20% pattern four isn’t 5%. But his PSA and Decipher score are notably lower,…

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Prostate Cancer | Last Active: 7 hours ago | Replies (38)

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@chocchip

@wwsmith granted 20% pattern four isn’t 5%. But his PSA and Decipher score are notably lower, no cribriform subtype was noted, and biopsy positive core count = 1. All other cores were clean. This all stemmed from a routine DRE (first one in eight years), not from an elevated PSA.
Do you still think AS is too risky given that? Can you elaborate a bit?

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Replies to "@wwsmith granted 20% pattern four isn’t 5%. But his PSA and Decipher score are notably lower,..."

wwsmith | @wwsmith | 1 day ago

@chocchip Some prostate cancers don't create much of a PSA rise. This case may be like that and thus it was a very good thing that a DRE was performed. The Decipher score of 0.35 is a good sign but it's fairly close to the upper limit of low risk which is 0.44. As others have said, it is way better to treat a cancer at 3+4 rather than at higher scores with more cancer volume involved. It's not a cut and dry decision at all, but if it was me, I would go ahead and treat it.

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