@172sar
FAVORABLE INTERMEDIATE RISK PROSTATE CANCER COUNSELING: Reviewed NCCN guidelines
showing patient falls into favorable intermediate risk category based on Gleason 3+4 w/ only 5% pattern 4 and
less than 50% cores positive. Emphasized very low risk of cancer-specific mortality (less than 5% at 15 years
w/ treatment). Explained that only 1% risk of lymph node involvement, so bone scan and extensive staging not
currently indicated. Discussed Decipher genomic testing which analyzes genetic expression in cancer cells to
refine risk stratification and confirm appropriateness of active surveillance if chosen.

One line summary: 52M w/ favorable intermediate risk prostate CaP (Gleason 3+4 w/ minimal pattern

@172sar
If your medical services use MyChart, it might be listed under test results.

The fact that you are a 3+4 and have such a low decipher means that Treatment should be very effective for you. Leaving radiation should be all you need. Speak to a radiation oncologist, and a urologist that does surgery to get their opinions.

The number of 3+4 and 3+3 in your biopsy are important things. There are other issues as well that could be important so that that’s why it’s good to post it.