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54M, “favorable” prostate cancer diagnosis — surgery vs. radiation
Prostate Cancer | Last Active: 4 days ago | Replies (35)Comment receiving replies
@jc76 Thank you for your comment and support. I’ll look into the tests you mentioned. I’m working with doctors at the Mayo Clinic in Rochester, MN, and two tests have been ordered so far: Prostox and ArteraAI. Prostox predicts the likelihood of severe, long-term radiation side effects. ArteraAI predicts cancer progression and overall survival, and helps identify whether a patient would benefit from specific treatments like hormone therapy.
I was told Decipher is most useful for patients considering Active Surveillance, and less helpful if I’m planning to treat. Is there a good counterpoint to this view? Thanks again for your input!
Replies to "@jc76 Thank you for your comment and support. I’ll look into the tests you mentioned. I’m..."
@jlhiggins01
I can give you the feedback I got in my particular case from the medical doctors I saw. I see you are at Mayo Rochester which is excellent care. I am at Mayo Jacksonville.
I was never given an consideration of active surveillance from neither my Mayo R/O, nor teh UFHPTI R/O that I dog second opinion. Based on all my tests Biopsies, Pet Scan, Bone Scan and Decipher (which gave me low risk) my treatment plan was radiation without hormones.
Active surveillance was not offered by either R/O and they both were working on my complete test results. The biopsies show I did have P.C. and both my R/Os, PCP and I agreed needed to be treated.
My doctors gave me the opposite of Decipher. It was to determine whether you cancer was low, intermediate, or high probability of metastasize and being aggressive. It had become an additional test back then at both institutions to determine the aggressiveness of your P.C. and thus risk level.
I hope this helped. I am glad to provide what my doctors told me. The diagnosis and treatment plans were the same at Mayo Jacksonville, and University of Florida Proton Therapy Institute.
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@jlhiggins01 Hi. My husband was 3+4=7 (Grade Group 2), (6-10% pattern 4). We were streamed into radiation and given a choice of SBRT/IMRT or brachytherapy.
We ordered the PROSTOX tests (Ultra and Standard). He scored "High Risk" on both. Yes, he was one of those... Radiation was out.
At 78 he didn't want prostatectomy. And radiation was out.
You wrote that the surgeon "Mentioned focal therapy as an option for patients prioritizing quality of life if disease is unifocal." "if disease is unifocal" --what an odd thing for a Mayo Clinic, Rochester, MN prostate-doctor to say...