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@josgen

Ed, I am in the same boat as you, diagnosed two years ago, Gleason 7, confined to prostate per MRI. (former) urologist recommended prostate removal or radiation. I began researching minimally invasive treatments and really liked HIFU. I also have an enlarged prostate so that makes HIFU a little problematic so now I am looking into laser therapy, specifically the new ECHO LASER 4. Nothing set up as of yet. BTW, here is an interesting study that concludes that an enlarged prostate can be protective against cancer growing and/or spreading: https://www.pnas.org/doi/full/10.1073/pnas.1815735116

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Replies to "Ed, I am in the same boat as you, diagnosed two years ago, Gleason 7, confined..."

Thank you for you response. I will take my chances, and will just watch.

I went through the usual procedures: PSA test, DRE, biopsy, diagnosed with PC, Gleason 3+4. Prior to surgery, doctor ordered an MRI. He said since the MRI showed the tumor contained within the prostate he would attempt to save both nerve bundles. He was successful! 😁 However, post-operative biopsy showed microscopic, focal EPE, meaning the cancer got outside the outer layer of the gland but the MRI couldn't see it. With the EPE, along with positive margin, Uro said 70% chance of recurrence. Oncologist said he believes my cancer will come back "someday." Not wanting to worry anyone, just let you know the cancer can get outside the prostate undetected by MRI. (Two years post-op, my PSA remains undetectable.)