Newly diagnosed stage 2. Trying to decide on a treatment plan.

Posted by 172sar @172sar, Mar 31 10:15am

Hello, I was diagnosed last month with stage 2 prostate cancer. My doctor said I had 3 options, radiation, removal or observation. He seemed to be a proponent of removal since I'm 53 years old and in decent health. I'm trying to get some feedback from people with experience. Thank You

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Jeff Marchi | @jeffmarc | Apr 1 10:55am

In reply to @172sar "@jeffmarc I've requested the biopsy results, thanks for the feedback." + (show)

@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.

copyman | @copyman | Apr 1 7:58pm

In reply to @mpersonne "Your report sounds a lot like mine, and I was diagnosed In January. Im 57yrs old,..." + (show)

@mpersonne They say when younger and good health surgery is often the best treatment. But I've read around 50% of men that have RP end up needing radiation anyway. I'm older but after much research seeing HDR brachytherapy, 23-25 IMRT radiation sessions and maybe ADT gives localized prostate cancer patients a 90%+ "proven" 10 yr success "cure" rate that took surgery off the table for me. Wishing you the best.

Jeff Marchi | @jeffmarc | Apr 2 10:51am

In reply to @copyman "@mpersonne They say when younger and good health surgery is often the best treatment. But I've..." + (show)

@copyman
If your cancer is isolated to the prostate, and you are older then five sessions of SBRT radiation can give you many years undetectable, frequently good for 10 years. IMRT plus brachytherapy Is also a good solution, but may be more than you need.

You don’t mention your Gleason score, That is pretty important when it comes to making decisions. Getting a decipher score is also a good way to find out what your chance of a reoccurrence is. If you have a high Gleason score than ADT is sort of essential if you have radiation.

Were any of these things found in the biopsy intraductal, ductal, large cribriform, Seminal vesicle invasion, EPE or ECE. (Extraprostatic extensions extra capsular extensions). They can make the cancer much more aggressive.