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Recently Diagnosed, Intermediate Prostate Cancer
Prostate Cancer | Last Active: Dec 17, 2023 | Replies (37)Comment receiving replies
Here is a good website to compare odds of cure for the major treatment paths. You have to determine your stage, low risk, intermediate, or high risk (risk of recurrence). So if you are intermediate, pull up the intermediate chart and you can see the odds of 10-20 yr survival, etc. based on the treatment you pick.
https://www.prostatecancerfree.org/compare-prostate-cancer-treatments/It is best viewed on computer or just print it on paper. Not so viewable on phone.
To make the graphs easier to read, i drew a dot on the endpoints of the elipses, and then drew a line through the dots. This turns the elipses into lines.
Also be aware the the graphs don’t show any salvage radiation benefit. This would boost the surgery odds up a bit.
Also beware, this is a very dysfunctional industry from my view. Loads of bad info mixed in with the good info. Same with the docs. Some of them are more dangerous than the cancer.
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You need to put age in that equation. Big difference between 50 and 75 as to which treatment to follow. Those graphs are just ok but someone like me they were practically worthless. PSA less than 10 or between 10 and 20. No mention if your PSA is 2.9. How many core positive or negative and what Gleason out of how many. Then if you have an MRI fusion guided transperineally biopsy and 3 or 4 taken from the area of the lesion how many do you count? I found that the only thing that made me an unfavorable intermediate risk was one core that was 60% 4 and the rest 3. Problem with that is that studies of samples of 4 Gleason after a RP found that 51% stayed a 4 and 49% were downgraded to a 3. You can get those results flipping a coin, so do you trust the pathologist who is reading the biopsy samples? Too many variables for me and it does not seem that the science is very exact. I went with the 5 proton treatment at Mayo being that I am 74.