Posted 9/11/2020 5:37 AM (GMT -6)
Hi Paul. Excellent report! I'm curious about two points. Was your Gleason 5+4 downgrade after your RP to 4+4 or was it 4+4 with tertiary 5? Also, was there a reason that only 3 nodes were taken in your RP after a G9 biopsy? I ask because I'm very interested in PCa pathology and how it figures into treatment decisions.
Was the purpose of the ADT to render the prostate cells assumed to be remaing more sensitive the SRT, or did the persistent PSA aftert the RP raise concern sbout mets despite the clear axumin scan?
Lastly, has there been any discussion about having a Decipher test done on yor RP tissue?
To answer your questions: I was downgraded after my RP from a 4+5. Surgeon later claimed he took 13 nodes but pathologists only reported on 3 (pretty sloppy, in my opinion). ADT was prescribed as part of the SRT. Lastly, I asked my RO about a Decipher test but she deemed it unnecessary at that point (right before SRT). I agreed — I felt the horse was already out of the barn, and a test with bad news would do me no good psychologically.