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Any experiences with HIFU localized ablation for prostate cancer?
Prostate Cancer | Last Active: Nov 21, 2023 | Replies (32)Comment receiving replies
I'm 64 y/o, had a 6.42 PSA and my PCP referred me to a urologist. Urologist performed a DRE and found a nodule. A TRUS was done and the biopsy result came on 1 Nov 2023 as Gleason 3+4 (grade 4 comprises 10% of the tumor) with PNI. There's only one core that is malignant, "right mid". Urologist discussed about treatments and mentioned active surveillance. I opted for active surveillance but after research and following this group, I'm having second thoughts about active surveillance. I am going to schedule an appointment with a urologic oncologist to get a second opinion. Interested with HIFU treatment but I don't see anyone doing it in Maryland.
Anybody here done HIFU treatments? I appreciate it very much if you can share your experience. Thanks.
Replies to "I'm 64 y/o, had a 6.42 PSA and my PCP referred me to a urologist. Urologist..."
I agree with jc76. I had a specific narrow margin photon machine and also had the decipher test which is used by doctors to evaluate treatment.
Get as many opinions as you can. It’s a process so take one day at a time.
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dmagic, I am not familiar with HIFU treatments.
I think you are doing the right thing getting a second opinion.
It is a personal thing to decide on what is best for you after getting opinions and research. A lot of research shows active monitoring of certain stages of prostrate cancer are appropriate especially when older. At 64 you are not that old. I am 76 and chose radiation treatments to cure the cancer and stop it from growing and possibly spreading.
Are you familiar with a test called Decipher? It is a genetic test on the already obtained biopsies that gives a more precise diagnosis of risk of the cancer. Low, intermediate, high. My original diagnosis form biopsies was intermediate. Decipher came back low risk. This changed my treatments from hormone and radiation to radiation only.
I would get second opinions. Asked your urologist about Decipher tests, PSMA, and bone scans. Have you seen an oncologist and or radiologist for consultations also. What I had was proton pencil beam radiation 30 rounds over 6 weeks. I did this after getting two opinions from different providers, doing all research I could, and having all the test I mentioned above done to give me as much information possible.