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TAKE CHARGE of your prostate cancer and future - ASK QUESTIONS
Prostate Cancer | Last Active: Apr 1 6:07pm | Replies (23)Comment receiving replies
@handera Yes, it would have indeed…but maybe those PIRAD numbers might have been less dire with another pair of eyes? MRI’s can be really unreliable, it seems.
My surgeon told me that there was something ‘suspicious’ on mine, warranting a biopsy…
Jeez Louise, it was a freakin solid block of G4+3 with cores of 70-90%! They never told me (Or I never looked) what my PIRAD score was…but it must have been really up there…
Phil
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@heavyphil
….your biopsy pathology report sounds like full on GG3…
PIRADS only predicts the likelihood of clinically significant cancer, so it becomes pretty much irrelevant in biopsy confirmed GG3+ cases.
Although a 2nd opinion is always a good idea for any diagnosis (at least to confirm the pathology), I don’t know anyone (worth listening to) who would recommend AS for a confirmed GG3 diagnosis...unless maybe those 80+ who have other major health issues.
GG2 is the “continental divide” of PCa…and one cannot have enough biomarker info for these cases, when deciding between treatment or continuing AS.
The good news for GG2 folks is they have plenty of time (years) to review future generated personal test data…if so inclined.
The bigger question (outside the treatment vs AS one) that every man with PCa faces is just how many (or how few) lifestyle changes they are willing to implement because of their diagnosis.
….and that’s driven by what they learn, believe and decide to do with controllable lifestyle variables in their life.
At the end of the day, after the “immediate treatment vs AS decision”….we all end up in the same boat regarding that bigger question:
“How will we then live?”