← Return to Radiation & Recurrence Treatment (Inside & Outside Prostate)

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Profile picture for Jeff Marchi @jeffmarc

You have a relatively mild case of prostate cancer. And in your situation radiation would probably be just as good as surgery. The difference is that surgery would tell you if it really was a 3+4 with 10%. It could be worse it could be better. You will never know with radiation.

The thing is, the percentages you are seeing are pretty accurate and we don’t frequently hear from people that have such low Gleason Score having reoccurrence.

Getting a decipher score could really cinch it. If you have a real low decipher, then your a chance of reoccurrence is definitely in the bottom percentages.

Some more information

People who have radiation as their primary treatment have been told by doctors that surgery isn’t really an option if there’s a reoccurrence. Other options are not really mentioned..

This study shows that both salvage focal therapy (HIFU and cryotherapy) and salvage surgery were equally effective at extending the life of a patient that started off with radiation.

Those that had focal therapy had fewer perioperative complications.
https://jamanetwork.com/journals/jamaoncology/article-abstract/2844900

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Replies to "You have a relatively mild case of prostate cancer. And in your situation radiation would probably..."

@jeffmarc hi i had 2 choices after having Turp procedure due lack of urine pressure . After biopsy, they found cancer 3+4, 4+3 =7 . my choice was to have prostate removed not Radiation . Test showed cancer was contained with in the prostate. After surgery was no Metastatic . Now been 2 years recurrence . 0.3 so now having Radiation for 5 weeks daily . hope that will kill all cells . be cancer free for at least 10 years . i’m 78 this coming birthday sept 26 cheers all good luck