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PSMA PET CT question

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

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Profile picture for jeff Marchi @jeffmarc

@chocchip
50% of AS patients end up having to have prostate cancer treatment. I usually hear from people with more advanced cases.

What I have read about is the fact that people with 3+4 and more than 10% four usually are treated. You make a good point about the fact that waiting five years could result in much better medicine being available. If someone shows cribriform or IDC that can be aggressive and probably shouldn’t be allowed to get worse. I don’t think many doctors would let those two options go with AS.

Got to admit though, a guy I know Who has cribriform And a 3+4 with a PSA that isn’t too high and not doubling quickly, has decided to go on AS after having multiple tests. His decipher is very low As are a couple of other tests, he’s taken, So he’s just waiting. Getting regular PSA tests and semi annually biopsies. He’s spoken to multiple well known oncologist who have agreed that he could wait. He’s an engineer with a PhD and just wants to go by the numbers.

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Replies to "@chocchip 50% of AS patients end up having to have prostate cancer treatment. I usually hear..."

@jeffmarc Semi annual biopsies? Whew, that's some aggressive monitoring, but a 3+4 with more than 10% 4 and cribriform, that's what needs to be done. A second Decipher might done as well over time as I have read of cases where they can go up too. Will be interesting to hear what happens on this. Please keep us posted.