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Recurrence Risk After Radiation

Prostate Cancer | Last Active: Mar 18 6:03am | Replies (10)

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@jeffmarc

Jeff, thanks for all you share and your generosity of time and efforts.

For cancer contained to the prostate and treated with radiation:

-Is it not as likely to recur in the prostate bed as outside the bed?
-Is the likely recurrence areas influenced by the cancer severity prior to initial treatment? Gleason 3+3 vs 3+4 vs 4+3 vs higher grades?

Thanks for any other thoughts and info you can provide on this subject. As I will likely have to make a treatment decision in the next few years.

Best Wishes

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Replies to "@jeffmarc Jeff, thanks for all you share and your generosity of time and efforts. For cancer..."

@charlesprestridge
The higher the Gleason score the higher, the chance of reoccurrence. There are, however, a lot of other issues that can cause it to rise. Other things found in the biopsy like intraductal, ductal, large cribriform, Seminal vesicle invasion, EPE, and ECE can make the cancer much more aggressive And lead to faster reoccurrence.

If you have a Gleason score of 4+4 or lower the likelihood of SBRT radiation, to cancer confined to the prostate, working effectively for the long-term is pretty good, As long as you don’t have the above listed aggressive issues.

When you are ready to do something as the time to really evaluate, what’s going on, with your doctors? You definitely will need a biopsy before a final decision is made.