I don't see many, if any, G7 cases being one's of over treatment.
I agree, but possibly wrong treatment.
The CT and Bone scans given after diagnosis, in my opinion, will not pick up anything unless cancer is in a more advanced stage. My lymph Nodes were positive but these scans did not identify that fact. I would have had RT instead of surgery if I had known.
I believe either the newer Gallium PSMA, when FDA approves, or Choline scan should be given before initial treatment to give a more definitive appraisal of the disease.
Costs will increase, but lives will be saved.
Age: 69, 69 at PC dx, PSA 6.7 Biopsy: 2/16 13 of 14 Positive, 2-99%, GL 7 (4+3) - RALP 4/20/16 Pathology:Non-Focal EPE, 2 positive margins, Gleason 4+3=7, involving 50% of gland, prostate weight 31.5 g, Stage pT3a N1, nodes 2/10, right side positive, Casodex two months, Lupron 8/17/16, uPSA 6/1/16, 2.41, PSA 6/16/2016, 2.6, 7/12/16, 2.2, 8/11/16 .6, 10/10/16 <0.1