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My Gleason score is 7 - 3+4. How long can I live without treatment?

Posted by mayoclinicadvice23 @mayoclinicadvice23, Jun 11, 2023

My Gleason score is 7 - 3+4,. How long can I live without treatment? Since I decided not to get any treatment, because of horrible side effects, I was wondering, if someone who experienced the same condition, will share his experience with me.

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icorps | @icorps | 1 day ago

There's lots of info and discussion on this on the internet.
Depending on how low the % of 4, you may be invited to consider a watch and wait approach.
I came within 10% on my 4s to qualify for the wait and watch.
Internet the subject and you'll see lots of info.
At your low numbers of very very favorable intermediate pc, lots of of very good options available-including possibly just watching and waiting ad infinitum.
One thought-get the views of both a radio oncologist ( a zapper) and a urologist (a surgeon).
Good luck!!

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crusader76 | @crusader76 | 6 hours ago
In reply to @edutron "PC discovered 01/2023 (poke and hope biopsy)- 3+3=6 (surveilance). 03/2024 - second poke and hope biopsy..." + (show)
@edutron

PC discovered 01/2023 (poke and hope biopsy)- 3+3=6 (surveilance). 03/2024 - second poke and hope biopsy (result - benign), weird. PSA's kept rising into the 10's and 11's. 12/2024 - 3rd biopsy, URONAV 3D MRI guided biopsy, 4+3=7 2 cores TC1, Pirades 4 - result. PET Scan - localized. Still deciding on best treatment. So far, RP (DaVinci) has been scheduled but also looking at beam radiation. Age 68 1/2. The worry and a big one is RP after RT and then what - more sufferage! My thinking is RP then RT if needed. Thats what I have been discovering from endless reads and study. Currently on Casodex to contain flares.

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Have you spoken with a Radiation Oncologist? My Gleason was 3+4. Had 5 sessions of SBRT. It also depends on whether or not the cancer is contained only in the prostate. It doesn't sound like there is any rush. You may want to do genomic testing as well, if you haven't.

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