← Return to Recurrence Post RALP: Did a second opinion change your plan?

Discussion
Comment receiving replies
Profile picture for Jeff Marchi @jeffmarc

@surftohealth88
The thing is, it’s not just IDC-P when you add cribriform. Newer studies say cribriform Is best treated with radiation, Older studies said RP. If you do RP because of IDC-P It’s not ideal for the cribriform problem.

I wish there was a simple answer to this, but I’ve not seen one yet.

It could just be treating people with RT after RP then putting them on the right drugs is gonna make them live as long as others

Jump to this post


Replies to "@surftohealth88 The thing is, it’s not just IDC-P when you add cribriform. Newer studies say cribriform..."

@jeffmarc
The thing is - "they" will probably live as long as others if you look at OS. There are studies that show that people with aggressive cancer who did not do ANYTHING after RP lived in average 13 years.

For IDC the difference was about 1.5 years in mortality at 15 years and that is average which means that some "others" died earlier than IDC and other way around.

Cribriform - study results change as often as weather lately lol.
I am sure that the truth is somewhere in between if you ask me. But again, if you look closely at the "end of game" results (actual number of people and not %), differences are in 2% up or down and so forth.

In all of this hoopla, the most important thing for any stage or any type is to stay on top of situation and act accordingly. All the rest is not guaranteed in any direction for gliason 7 nor gliason 9. Chances are chances - can go either way, and of course as with anything else pure luck (or the lack of it) can have major effect : /.