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Getting PSA results with impossible fluctuation: What's up?

Prostate Cancer | Last Active: Mar 11 8:47pm | Replies (46)
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Profile picture for dmatisoff @dmatisoff

Hi folks. Just to repeat. According to my uro and my own research fully one third of Gleason 6(3/3) pts require intervention over 5-10 yrs. Ie one out of three. So yes you should NOT intervene on all Gleason 6 pts.BUT. as I've previously outlined I went from Gleason 6(3/3). To 7(4/3) with nasty pathology. PLEASE folks. As imperfect as diagnostic testing is currently don't throw baby out with bathwater.

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Replies to "Hi folks. Just to repeat. According to my uro and my own research fully one third..."
Jeff Marchi | @jeffmarc | Feb 16 11:20am

@dmatisoff
Actually, they say that 50% of people on active surveillance end up having treatment because it advances. It did with my brother after six years.

Getting an MRI and a fusion biopsy really has become essential. Of course people can get a PSE test, which sort of eliminates the question about whether a biopsy is necessary.

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