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Treatment Advice

I am 63, diagnosed stage 2, Gleason 7 score in 5 out of 14 samples, PSA 4.6. I am consider no treatment and choosing surveillance by PSA testing every 6 months. Cancer is still contained within the prostate.

Is this a reasonable strategy?

  1. Hi . A lot of variables go into treatment decisions and whether active surveillance is an option. I need to mention that we are not medical professionals and cannot give medical advice over the internet. I can tell you that while it is good news that you are stage II and it appears your cancer is contained, this doesn't say if it is considered stage IIa or IIb (see this article for more in-depth description of staging: There is the Decipher test which can help determine who is a good candidate for active surveillance. Here is a link to a discussion about the test: (to see research on the topic: and Hopefully others will chime in with their experiences. Best, Richard ( Team)

    1. I don’t think it’s reasonable. I mean what’s your plan? Active surveillance until it escapes? You’ve been fortunate enough to receive information that you’re a good candidate for being cured. I think you’ll regret it if you blow it

      1. Richard gave you some great insights. A G7 is not insignificant ---the fact that the cancer is contained in the prostate now is quite significant and potentially good news. If you decide on waiting have you decided on what triggers will move you to the next step? If so just know that surgery may not be an option after the cancer has spread to other parts of your body.

        While no one wants to jump into treatment -- none of us wanted to learn we had cancer either. That said what ever you choose I would suggest it is best to have a plan and some options in place before you need to make a decision. Dennis( TEAM)

        1. Great advice above. Early treatment is far better than later. After metastasis, the treatment options and prognosis are not as favorable. Wishing you the best.

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