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Discussions (106)
Good PSA/MRI active surveillance results still require fusion biopsy?
Hi all -newbie here. Will be age 67 March 2025. History:03/2023: PSA from 3.1 to 9.04/2023 MRI: 1.9cm PI-RADS 5 lesion and 0.6cm PI-RADS 4...
Detectable PSA now at 0.22 after RP in Nov 2018
What are the chances of it being benign or slow-moving enough to continue active surveillance? PSMA and MRI prostate bed May 2025 both neg. Decipher...
The Gray Area of Favorable Intermediate Risk 3+4=7
There has been much discussion on this thread about how to approach favorable intermediate risk 3+4=7 PCa. Many on here have been adamant that active...
Anyone get the Decipher test: RNA Tumor RNA Expression Analysis?
Anyone get the Decipher genomic test, and specifcally, the "RNA Tumor RNA Expression Analysis?" How are your docs using that info for determing treatment? I'm...
Experience with Saw Palmetto?
The doctor of one of my prostate cancer friends (with an enlarged prostate undergoing active surveillance) recommended Saw Palmetto. Looks like it could have some...
Gleason 9: ADT before radiation
I have been on active surveillance since 2016. PSA jumped from 6 to 10 and biopsy Gleason 9. Doc ordered Luperon and radiation. Does it...
Need some support for RARP Decision
I am 59 in decent shape and was diagnosed with 3+3 last year and was on active surveillance. Underwent a follow up biopsy in one...
Perineural Invasion: what is the best way forward?
Pirads 4, 5 out of 12 biopsy samples carcinoma, Gleason 6, Grade 1, perineural invasion, Decipher score .55. Researching best way forward, leaning towards active...
Decision to be made on treatment
I'm new here. Diagnosed with a 3+4=7 Gleason score and will be meeting Friday to discuss next steps. Would like suggestions from those who have...
Recently diagnosed stage 1 prostate cancer
Recently diagnosed with stage 1 prostate cancer, Gleason 6, PSA 4.87, and Decipher 0.78 . Prior to getting the genome Decipher score my doctor and...
Possible Extracapsular Extension - How much influence on treatment(s)?
60 years old2022 - PSA increased from 2 or below to 2.82023 and 2024 - PSA remained 2.5-2.82025 - Annual Physical PSA = 4.0-Urologist visit...
Prostate cancer diagnosis on March 6
Had prostrate cancer diagnosis on 3/6/2026. Urology oncologist took 12 samples. Eleven were benign and one was determined to be cancer. Left mid gland transition...
Brachytherapy? Anyone have thoughts?
Hi all. I have been on active surveillance for two years but psa is up to 6.49 so we did a second biopsy. Gleason 7...
Pursue 2nd opinion?
First a bit of context. Father had PCa at age 58 with radical prostatectomy. I'm 63, had urinary issues for several years, had a PSA...
Masturbation post prostatectomy and radiation. Will it affect PSA?
Prostatectomy 12 years ago, and maintained non detectable PSA. recent PSA in 2024 rise rise to .16 and had 37 bouts of salvage radiation. PSA...
I want to learn more about side effects of robotic prostatectomy
Hi all: I am 65 and have recently been diagnosed with prostate cancer. I am stage 2A with a Gleason score of 7 (3+4). The...
PC treatment: Prostatectomy or Proton Beam Therapy
67, very healthy and fit. No symptoms. PSA creeping up in last few tests, 5.6 in latest. In recent biopsy 11 of 12 cores positive....
Role of Fish Oil in Reducing Cancer Growth (study)
A recent study comparing a group of men on active surveillance taking a Fish Oil capsule with a similar group not taking Fish Oil showed...
Treatment advice for prostate cancer
Hi folks. I am 68 years old and was recently diagnosed with grade 3 prostate cancer. PSA is 6, Gleason score 6(3+4), and just got...
Opinions wanted
3+4=7 Gleason score July 25 .6 Decipher score July 25 1 PIRAD score July 25 9.36 PSA June 25 I was told I am on...
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