.....So which is better onvotype dx or decipher
Am scheduled to get biopsy next June as part of my AS should I ask for decipher if anything is positive
It’s important to talk to your doctor to find out if you are a candidate for genomic testing. There are a variety of tests with different strengths and weaknesses, and it's a still an evolving science:
This test looks at the activity of certain genes in the prostate tumor and assigns a personalized result, called the Genomic Prostate Score, to each case. This number predicts the chance that the disease will be more aggressive and spread to other parts of the body if left untreated. This is used after a confirmed prostate cancer diagnosis of low risk disease and uses biopsy tissue to predict likelihood of future growth and spread. It is helpful for those considering active surveillance...and may be the best choice for you.
This test looks at a sequence of certain genes and provides a personalized genetic panel to determine aggressiveness. This is used after a confirmed prostate cancer diagnosis and uses biopsy tissue to predict likelihood of future growth and spread. It is helpful for those considering active surveillance.
The Prolaris test measures how fast your cancer cells are dividing to predict aggressiveness. This is used after a confirmed prostate cancer diagnosis of low risk disease and can use both biopsy tissue and tissue from a radical prostatectomy to predict likelihood of metastasis, biochemical recurrence, and death from prostate cancer. It is helpful for men deciding on a treatment option or trying to decide on additional treatment after surgery.
Decipher Biopsy is available for patients diagnosed with localized prostate cancer at time of biopsy. Decipher Biopsy can help men, and their doctors, determine if it may be safe to consider active surveillance, treatment, or a combination of therapies. No additional procedure for the patient is needed to run this test.
Decipher Post-Op predicts the likelihood of prostate cancer metastasis for men with adverse pathology after radical prostatectomy. The test can help patients and their doctors decide if additional treatment is needed after surgery. Decipher Post-Op uses a tissue sample that was removed during surgery, so no additional procedure for the patient is needed. If this is your choice, be sure to request their GRID report.
72years old @ Dx, LUTS for 7 years
Ulcerative Colitis since 1973
TURP 2/16, G3+4 discovered,
4 cores; G 3+3, one G3+4
RALP 7/17 G3+4 Organ confined, but...
<1mm positive margin on Epstein check
pT2c pNO pMn/a
PSA .54 4 months post RR
ercMRI & DCFPyL PET Scan @ NIH/NCI
1" tumor in cavity at apex No mets.
2ADT; IMGT 70.2 GY, over 5/18
PSA <.006 9/18, .054 11/18, .070 12/18