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Did you choose active surveillance? Why was it a good choice?
Biopsy showed 3 + 4 MRI showed pirad 2 bone scan CAT scan no metastasism nothing found. psma pet scan radiologists said nothing found. but oncologist says he saw a very small spot. Only concern was half of the cores showed 3 + 4 out of 12 but he said it does not show the percentage of four?? Not sure I understand this part. Told me I could do active surveillance or cyber knife or brachytherapy. I think I am going to go with active surveillance my Medicare plan I can change next year to an advantage will cover more of the cost I have original Medicare now. Can I get some opinions on active surveillance being a good choice? Thank you in advance
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Some people do AS for 3+4. Yes it can get worse. It can also not change for a while, giving a break before treatment. Unlikely to not get worse over time.
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1 ReactionI have a question about active surveillance. I was given that option. But as jeffmarc has pointed out my 3+3 gleason 6 should be AS. But why would you wait on a 3+4. What are we waiting on. To get worse? Reduce the inevitable side effects? Would there be any likelihood its not going to get worse.
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2 ReactionsThe 1st thing I suggest , Get a 2nd or 3rd opinion of your biopsy results Confirm you have Gleason 3 + 4 = 7
Active surveillance MAY bbe a good option with regular PSA ( EVERY 3 MONTHS ) FOR THE 1ST YEAR . Followed by a followup MRI to determine any growth of the liason .
As recommended in Dr. Patrick Walsh's Book 5th Edition " Guide to Surviving Prostate Cancer "
Everyone should get a 2nd or 3rd opinion of their Biopsy Pathology results .
Take my case : Biopsy # 1 A 5 core Transperineal MRI Fusion Biopsy - ALL NEGATIVE . This was in clear conflict with my MRI PI- RADS 5 Score . Biopsy # 2 , at my request not my Urologist was a 16 core with 6 cores in the same target area as # 1 .
All 6 cores came back Gleason 3 +3 = 6 . A 2nd opinion 4 cores Gleason 6 , with 2 cores Gleason 3 + 4 = 7 . TAKE YOUR PICK .
I would have a 2nd or 3rd opinion of my biopsy slides . I have been on active surveilllance for a year , and currently reviewing my other options . My recent year-over- year MRI ( My 3rd )
showed no change . My recent Bone and CT Scans were negative - No metastasis detected . I plan on a PSMA PET SCAN -- My call .
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4 ReactionsPirad 2
No
No
@arizobound
I see you asked a question for me.
My MRI does show a determination of prostate cancer.
My MRI done with a contrast showed suspicous areas and thus the urologist ordered biopsies. A MRI can give the radiologist and urologist a good image of prostate and suspicious areas. I asked my urologist after I go the suspicious areas diagnosis what the chance it was cancer and he said 70%. Mine biopsy Gleason Score came back 3+4=7 and was diagnosed with intermediate prostate cancer per pathologist.
PMSA is a very excellent test. It uses a type of radioactive injection and then scan to look for prostate cancer that has spread outside of prostate. Mine was negative. I also had a bone scan that was also negative.
I was asked if wanted Decipher test and advised would give a more specific determination of risk level. I asked for it and my diagnosis of intermediate risk was changed to low risk and changed my treatment recommendations were also changed. A very good test that uses the same biopsies already taken.
I hope I answered your questions!
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3 ReactionsWere they able to see the cancer in the MRI or the psma pet
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1 ReactionMy primary suggestion was to get a 2nd and 3rd opinion of your pathology results as assurance that your 1st Gleason Score is correct .
If you have read Dr. Patrick Walsh's book : " Guide to Surviving Prostate Cancer " , this is highly recommended as do other International Tier # 1 Urologists .
Good luck .
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