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44yr PSA180 Gleason9 non-metastatic. Surgery or Treatment?

Prostate Cancer | Last Active: Apr 7 9:21am | Replies (172)
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@dinu seems Gleason 9 is too aggressive for treatment. As long as localized, I would opt for removal and possibly chemo.

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Replies to "@dinu seems Gleason 9 is too aggressive for treatment. As long as localized, I would opt..."
Jeff Marchi | @jeffmarc | Feb 16 2:00pm

@tdoriausername
Actually, chemo is usually only done when the cancer has spread to other places in the body. If it’s isolated in the prostate, they would give you an ADT and an ARPI (Zytiga or a lutamide). If only a couple of metastasis outside the prostate, they would use SBRT radiation on it.

They really do reserve chemo to more severe cases.

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dinu | @dinu | Feb 16 2:27pm

@tdoriausername
That is currently the plan, except i will try to stay away from chemo and stick to RT as much as possible.

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