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Updated Biopsy Discouraging; What's Next?
Prostate Cancer | Last Active: Mar 9 8:53pm | Replies (8)Comment receiving replies
First, I would consider that of all the possible Gleason scores — 6(3+3), 7(3+4), 7(4+3), 8(4+4), 8(3+5), 8(5+3), 9(4+5), 9(5+4), or 10(5+5) — your 4+3 is mid-range. Nothing to be discouraged about.
With a Gleason 7(4+3) and no other significant risk factors, your biopsy shows a run of the mill intermediate-unfavorable prostate cancer. NCCN guidelines provide recommendations to start with. (See attached.)
Based on your PSMA PET scan results, you’ll have a treatment decision to make.
During the 9 years that I was on active surveillance, I spent at least 3 years interviewing treatment specialists and evaluating treatment options so that if/when the time came to make a treatment decision (which it eventually did), I’d already have that decision (calmly) made.
(Pending your PSMA PET scan results….), during the time you were on active surveillance, what treatment decision did you make?
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@brianjarvis Thanks for your response--it's helpful and encouraging. I've only been on AS for a year, so no decisions except the initial option for AS and reading, viewing videos and studying PCa. My urologist is getting me PET scanned so we'll know more after that and, yes, have some treatment decision(s) to make.