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Gleason7(3+4) - treatment options recommendation
Prostate Cancer | Last Active: 2 days ago | Replies (354)Comment receiving replies
@charliebrowntri7
I forgot to ask you if any of these are found.
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.
If none of these were noticed, then you have a lot of treatment options. The cancer does grow slowly, so you do have time to look for the best doctor to treat it.
Replies to "@charliebrowntri7 I forgot to ask you if any of these are found. Were any of these..."
@jeffmarc Hi Jeff, sorry for the late reply. No to IDC or EPE or ECE and yes to low cribriform. No seminal or lymphnode invasion. I do have a consult with the robotics surgeon next week. I did consult with the RO a few weeks ago who offered 5 sessions over 2 weeks of SBRT and no ADT. If future recurrence, then he said Brachytherapy and maybe ADT then. I am still not sure which treatment I will choose, but decision day is fast approaching. At 68, they say I am young and surgery is a good thing, but that radiation treatment as mentioned above is just as successful over 10+ years. I wonder the difference b/w SBRT/Brachy compared to robotics surgery for life long impacts or QOL, specifically in continence and the ability to have sex/erections in future
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@jeffmarc Hi Jeff, for me, the cribriform was stated as low amounts and all is contained in the prostate. No IDC, ECE. The recommended treatment from RO was SBRT, no ADT, and future recurrence would be addressed with Brachytherapy and ADT at that time. As I am 68, my parents died at 60 and 74 years old, I am not sure that I have a long life span other than I keep healthy and exercise. This is why I still struggle between radiation or Robotics RP