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Replies to "I would get a decipher test done and that could clarify the situation alittle bit more...."
Prostate Cancer | Last Active: 1 hour ago | Replies (6)
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I would get a decipher test done and that could clarify the situation alittle bit more. In my case had I had only a .8cm lesion 2 cores 3+4 10% component on each but high decipher. If the score was low I definitely would have chose sbrt without adt which adt would only add an extra 5%, so to me that's not worth it. So opted for surgery because if reoccurance happens can always do radiation later. Surgery scheduled for mid February.
Replies to "I would get a decipher test done and that could clarify the situation alittle bit more...."
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@ginger38314 that was sort of my take until the RO said "there is an absolute benefit and the toxicity from a 6 month course of ADT is temporary". The Decipher studies that show a 8-10% benefit of adding ADT lump intermediate and high risk decipher scores into the same bucket. And its impossible to tell within that bucket who is getting the bigger benefit and who isn't. The study does show an absolute benefit and in his mind even with a strong baseline it is worth the temporary side effects of ADT. My baseline is a 95.3% chance of being metastatic free in 10yrs. I was initially resistant to that but now I'm more accepting of that philosophy and trying to intervene to avoid the worst ADT side effects.