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What are the Odds No Cancer Ever Returns After a radical prostatectomy

Prostate Cancer | Last Active: Mar 31 1:28pm | Replies (33)
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@pamperme

I had an RP in September 2022 and the 6 week PSA was <.02. While I was informed everything is good some of the biopsy of the prostate bothered me. The biopsy of the prostate said the tumor focally approaches to margins at right bladder neck and peripheral margin at right mid. Cautery artifact precludes definitive evaluation of margin status. It also says extraprostatic extension present extensive at right anterior , lateral and posterior, apex to base and left posterior, mid. The tumor was 30% Gleason pattern 4 cribform identified. I am now waiting 3 months for next PSA. Should I be looking at anything else. It was rated 3a

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Replies to "I had an RP in September 2022 and the 6 week PSA was <.02. While I..."
melcanada | @melcanada | Nov 20, 2022

Get on Bartilutimide and then Zolodex injections ASAP to stop testosterone the fertilizer of pC NOW

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web265 | @web265 | Nov 20, 2022

unfortunately this is the psychological side effect of this disease...
There's really nothing to do until you see rising PSA. Hopefully it doesn't rise but if it does the likely next step would be some variant of Salvage Radiation Therapy + ADT.

Should you be looking for anything else? Maybe making sure you're on a healthy diet, staying as active as you can and trying to enjoy your life as much as you can to keep your mind off your PSA. Other than that, I think it's a waiting game at this point.

As @melcanada suggests, ADT might be something to ask about, my doctors didn't start me on it until a chemical recurrence happened.

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