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Oncotype DX Biopsy Test

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Prostate Cancer
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Jerry L.
Veteran Member
Joined : Feb 2010
Posts : 3197
Posted 5/11/2015 5:01 AM (GMT -8)
In the latest issue of AARP I noticed a small article about this test. It states that by analyzing genetic information in a biopsy they can distinguish between slow growing PC that warrant regular monitor and faster growing rumors that demand immediate treatment.

Is this test approved and available?

Are docs using it regularly today?

Is it accurate?

How's it compare with just knowing Gleason score. Meaning, I would imagine a Gleason 9 or 10 would still need immediate attention?

Thanks
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Tall Allen
Elite Member
Joined : Jul 2012
Posts : 10645
Posted 5/11/2015 8:53 AM (GMT -8)
No, it is not covered and costs about $4000. The company has an assistance program.

It's potential use (and a similar test called Prolaris) is for patients with a negative biopsy and remaining suspicion, or for guys on an AS program. It's been used to predict recurrence after RP, although Decipher is better validated for that.

For most guys, it will tell them what they already know from PSA, Gleason score, and stage. For a few, it will tell them that they are at enhanced or lower genomic risk than it seems.

I don't think it's worth the cost, but I know a few guys who got it. You can probably read patient experiences by typing it in the search bar.

- Allen
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Jerry L.
Veteran Member
Joined : Feb 2010
Posts : 3197
Posted 5/11/2015 8:59 AM (GMT -8)
Thanks Allen. I'm going to our support group tonight and wanted to have the right info.
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jbart62
New Member
Joined : Aug 2014
Posts : 16
Posted 5/11/2015 6:13 PM (GMT -8)
My husband had this test done. It is very expensive $4280.00 and our insurance only paid $248.00. Not sure what balance they are going to bill us My husband is a G9 T3a so we wanted to know how soon to jump into radiation. His test came back at 13.6% change of cancer spread. So his doctor was ok with blood tests every three months and waiting. So far his PSA has been .01. Not sure it was worth the expense but we did decide to wait on radiation for a while and let him heal.
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