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Is Hormone therapy necessary With radiation
Prostate Cancer | Last Active: 15 hours ago | Replies (81)Comment receiving replies
@im62at2024
Unfortunately, the only thing you provide is your T3a. In order for us to really Comment about what’s going on we need to have information.
What was your Gleason score? What was your PSA before you were treated? Did you get a decipher test or any equivalent test? That could really tell you what your chance of reoccurrence is and whether or not you need ADT.
I do realize that it has broken out of the capsule, but there’s no evidence that it spread. They didn’t find anything in the lymph nodes.
Were any of these things found in the biopsy or MRI intraductal, ductal, large cribriform, EPE or ECE. (Extraprostatic extensions extra capsular extensions). They can make the cancer much more aggressive. I suspect your doctor doesn’t think any of these occurred.
Your radiation oncologist may be right, And the PSA will show what’s really going on.
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@jeffmarc
My most recent post-op Gleason scores from early 2025 are two comments above yours. Here was my Gleason scores from 2021. I hope this helps because I don't have access to much more info than this.
1. Prostate, "Les 1 Rt posterior lateral peripheral zone", needle core biopsy:
-Prostatic adenocarcinoma, Gleason score 3+3 = 6, grade group 1, involving 10% of 1 core
2. Prostate, right base, needle core biopsy:
-Prostatic adenocarcinoma, Gleason score 3+3 = 6, grade group 1, involving 5% of 1 core
3. Prostate, right mid, needle core biopsy:
-Benign prostate tissue with atrophy
4. Prostate, right apex, needle core biopsy:
-Benign prostate tissue with atrophy
5. Prostate, left base, needle core biopsy:
-Benign prostate tissue
6. Prostate, left mid, needle core biopsy:
-Benign prostate tissue with focal acute inflammation
7. Prostate, left apex, needle core biopsy:
-Benign prostate tissue
Clinical Information
Diagnosis:
R97.20 - Elevated PSA [ICD-10-CM]
Here is my "Oncotype DX Genomic Prostate Score*" from 2021. As far as I'm concerned it couldn't have been more wrong. Also attached is all my PSA history.