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Decipher risk: prostatectomy RP vs radiation.
Prostate Cancer | Last Active: Mar 14 11:09am | Replies (75)Comment receiving replies
@drcopp
A lot of it depends on how old you are. If you’re on your mid to late 70s then five sessions of SBRT could take care of it. They also work if you were younger, and the results are just about equal to surgery. A lot fewer side effects at the time compared to surgery.
Are they able to spare the nerves if you do surgery? If not, then getting an erection is a real problem. There are Solutions, but you definitely want to ask the doctor if they can spare the nerves.
While large cribriform is A real problem were any of these found in your biopsy, intraductal, Seminal vesicle invasion, EPE or ECE. (Extraprostatic extensions extra capsular extensions). They can make the cancer much more aggressive.
Did you get a PSMA PET scan? That could tell whether or not the cancer has spread beyond your prostate and needs to be handled differently than surgery.
I found out I was a 4+3 after surgery and it gave me 3 1/2 years before my cancer came back. I have a genetic problem, so that’s why it reoccurs.
If you want to know if yours is going to reoccur, you should get a decipher test and an Hereditary, genetic test. Those two can narrow down the possibility of you having future problems.
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@jeffmarc
I am still young enough to handle a surgery or radiation-mid-60's. I was checked for genetic things on two studies and nothing came up, but my brother had the same thing that I do, with a 3+4/7 and no cribriform for either of us. He has a 0 PSA score and no return now past 5 years.
I got the PET scan and no metastasis, so thank you; I will ask about the Decipher test.
I did send off for the PROMISE testing and nothing showed up. My fusion biopsy showed another suspicious area on the opposite side of the cancer, besides the above adenocarcinoma in 3 of 15 core samples.
The surgeon is the best and has the most cases under his belt in our entire large metro region, has been using the DaVinci for some time now. The device can miss the nerves and I was told that the operation takes about 3 hours.