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PSMA PET CT question

Prostate Cancer | Last Active: 6 hours ago | Replies (38)

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Profile picture for beachflyer @beachflyer

Hi Chocchip

Sorry you joined our club, I had a similar diagnosis 2 years ago. Your somewhat stable PSA and favorable Decipher is a good thing however having the PC discovered via DRE is problematic as it could hint to possible EPE.
I was diagnosed with 3/4 with 10% 4 (favorable decipher.) Received a second opinion of 3/3 ! I had low PSA and MRI invisible PC with family cancer history so went with RALP.
Pathology post surgery was 3/4 with 30% 4 on a fairly large tumor mass.
Its good your doctor found it when he did and also that it images well so you have many options for treatment. A PETPMSA scan is a normal first step. All the best!

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Replies to "Hi Chocchip Sorry you joined our club, I had a similar diagnosis 2 years ago. Your..."

@beachflyer THANKS! We chatted today with the UCSF urologic oncologist. He definitely is pushing AS and my husband seems to trust him (as do I - I sat in on the call). He is calling this "low risk GG2". Borderline GG1. Their own expert path lab reviewed the specimens and agrees: no cribriform and just 5% pattern four (vs 20%), but on two cores, not one. Doc wants to do his own confirmatory biopsy as soon as May or June. Will make that happen. I asked him about the DRE as the trigger for all this, and what that might indicate. That didn't concern him too much - he felt the subsequent MRI sort of superseded the DRE for what that's worth. He personally orders PSMA-PET for higher grade situations as a rule, but we didn't bother to ask if we should cancel it, given that the local urologist ordered and folks here think there's no downside (beyond radiation).