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Gleason 3+4, How did you treat?

Prostate Cancer | Last Active: Jul 12 7:17pm | Replies (44)
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My surgeon at Johns Hopkins recommended a book to me, "Dr. Patrick Walsh's Guide to Surviving Prostate Cancer". He is very very anti ADT. He thinks that the negatives far outweigh any benefit from hormone therapy. Interesting read. He said just "say no"!

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Jeff Marchi | @jeffmarc | Jul 12 11:37am

@keithl56
We discussed Dr. Walsh here.

He was a surgeon who botched the surgery of a friend of mine 25 years ago and also botched the surgery for other people that are friends of people in this forum.

The guy lied to a lot of people about what he could do in surgery and then didn’t do it. Supposedly a nerve sparing specialist who didn’t know how to do it or wasn’t able to do it. The guy, I knew that went to him traveled across the country because of what he was promised. He had a very limited case of prostate cancer a Gleason, six with almost nothing found yet the doctor couldn’t spare his nerves.

I’m reluctant to believe what he tells People in his book. Maybe some of the ideas are good, but the guy has not done what he promised in the past, I don’t know if I was the rely on his information. There are a lot of other sources you can go to that disagree with that opinion about ADT.

I’ve been on for eight years, it has not been a significant problem and it kept my cancer from coming back for many years.

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surftohealth88 | @surftohealth88 | Jul 12 11:37am

@keithl56

For aggressive types of cancer "no" would mean fast progression of the disease and fast decline and death !

Not all cases are the same, not even close. Many factors influence decision about any particular choice of treatment depending of that stage, gleason and aggressiveness of the cancer. Not all patients have the same bad side effects from ADT either.

Besides, biopsy is not always accurate (as we see from previous post) and was not accurate for my husband either. His biopsy showed 4+3 and in actuality he was 4+5 with VERY aggressive type of cancer.

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