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Gleason7(3+4) - treatment options recommendation

Posted by manojsmishra @manojsmishra, Aug 25, 2024

Got recently diagnosed with Gleason group 2, 7(3+4). Was in state of shock to know about the cancer.
I’m 56 year old and fortunately I’m with Mayo care since last decade.
Recommendation for me is to have prostatectomy as radiation therapy has long term implications. Took outside opinion also and same recommendation. But not sure how to deal post procedure with urge to urinate situation currently there.
Biggest thing is I’m hoping there is no recurrence occurring after this. Any suggestion/recommendation?

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charliebrowntri7 | @charliebrowntri7 | 2 hours ago
In reply to @robertmizek "You wrote “ Radiation has replaced surgery for most people these days. You should look into..." + (show)
Profile picture for robertmizek @robertmizek

You wrote “ Radiation has replaced surgery for most people these days. You should look into the other option.” And then suggested that he contact Dr. Mark Sholz in California.

You’ve totally dismissed Mayo Clinic as a center of excellence. Do you honestly think that the doctors specializing in treatment of prostate cancer probably at Mayo are second rate compared to other providers? Mayo sets the highest standard of care.

Stop spreading misinformation that more patients are receiving radiation as their primary treatment. Misinformation is offensive to those of us who are fighting aggressive disease and have gone through surgery after receiving that recommendation from a tumor board at a Center of Excellence.

If you want to share that you received radiation as primary treatment and that your PSA indicates cure please do so to help other men. Don’t give medical advice.

Prostate cancer is a complex disease and treatment is not a one size fits all solution. You’re not a medical expert and need to stop recommending treatment on this forum.

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@robertmizek just got my results

14 cores.
1 Gleason 7 4+3 70%
2 Gleason 7 3+4 10%
3 Gleason 7 3+4 10%
11 others negative

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ireland1964 | @ireland1964 | 1 hour ago
In reply to @dekestet "@davidz26 I agree that you should consider SBRT which I finished 3 months ago after a..." + (show)
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@davidz26
I agree that you should consider SBRT which I finished 3 months ago after a 3+4=7 Gleason. Prior to my decision, I did a decipher and ArteraAI test which were very helpful and reassuring that I was making the best choice. So far so good; minimal side effects in all areas. My initial urologist strongly recommended surgery, prompting me to find a more objective provider. Given my status, the research on surgery did not feel like a necessary or good choice. Good luck on your journey; you’re not alone.

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@dekestet Appreciate your reply and glad things seem to be working out for you.
I feel like focusing on surgery is primarily based on frustration but will look into this Sbrt more.
Do they use Proton or any type of spacer with you?

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Profile picture for Jeff Marchi
Jeff Marchi | @jeffmarc | 37 minutes ago
In reply to @charliebrowntri7 "@robertmizek just got my results 14 cores. 1 Gleason 7 4+3 70% 2 Gleason 7 3+4..." + (show)
Profile picture for charliebrowntri7 @charliebrowntri7

@robertmizek just got my results

14 cores.
1 Gleason 7 4+3 70%
2 Gleason 7 3+4 10%
3 Gleason 7 3+4 10%
11 others negative

Jump to this post

@charliebrowntri7
You definitely need to look into treatment. The 4+3 with 70% is something that needs to be
treated?.

Are the 3+4 and 4+3 close together? If they are, it’s possible you could have focal therapy.

Five sessions of SBRT radiation would probably work quite well.

How large is your Prostate? How old are you? How high was your PSA?

All factors in the decision you make.

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