So, you're right about
the general consensus on when to move from AS to treatment (based on expert panel AS recommendations LINK
* 3+4 is fine continuing on AS as long as the volume of Gleason pattern 4 is low (≤10% of total tumor)...but this is not your case
* A "high volume" 3+3 case is an indicator of disease progression and of the need to consider active treatment...but a clear biopsy criteria for defining "high volume 3+3" has not been established
Obviously, my previous question was trying to help you establish whether your 3+3 tumor is "high volume" or not.
The mpMRI is often useful in identifying higher volume tumors. Was there information on tumor size from your April mpMRI? I'm with ya on what you said "I can see the benefits of surgery now in line with what my Uro laid out but wonder if its more than I need,"
and am just trying to use available info to see where you fit.
Post Edited (JackH) : 6/6/2017 11:44:51 AM (GMT-6)