re: Prostate cancer, gleason score 6, psa 5…..

Pretty sure Ochsner in offering HIFU now.

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When was the last PSA done? Steady PSA is good. I know they typically say under 4, but they also say that as long as it's steady.

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Off topic I know but one can have a PSA over 5 and be fine. That's me. But I have had three prostate biopsies. All negative. Take meds to reduce the number and it worked.

Age is importanr

Active surveillance should be the plan with a Gleason score of 6 (lowest score possible).

Family history and such should be taken into consideration.

There’s a YouTube channel called Prostate Cancer Research Institute that I highly recommend.

You’ll be okay.

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whatever the doctor tells you.

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Because in many cases the common treatments have similar likely outcomes, but different potential side effects Drs. let the patient decide what treatment they want.

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Internal radiation?

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Radioactive pellets are inserted into the prostate gland itself to kill the cancer cells, as opposed to external beam radiation where you lay under a large machine and the prostate is irradiated.

My dad had HIFU. High intensity focused ultrasound. Obliterated his tumor. That said, he is a retired physician and wishes he had done radiation. Basically HIFU is one procedure and done, with very little side effects, and that is why he did it originally. But radiation is more proven. Good luck to you.

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My psa was recently at 6.9, in august it was 5.3. The Dr was concerned about the fluctuations in the psa level. But I do have a spot about 1.2cm that is cancer.
I have a teleahealth visit with Mayo Clinic next Thursday and MD Anderson the following Monday.
My local urologist is suggesting removing the prostate.

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One year ago today my PSA was at 8.0. Told my doctor and he said take it easy riding your bicycle and we will test again 3 months. IN 3 months it came back at 9. I had a biopsy done and 1 out of 12 cores came back positive 3+4. I have a family history of it. My grandfather died from it, my dad just went through it so this was expected. Just didn't think it was going to be before I was 50 though.

After discussing it with urologist and oncologist, due to my age the only option was surgery. Had it removed exactly 3 months ago today. I went for bloodwork today to check my PSA level.

Surgery went about as good as it possibly could. Pathology report was that the margins were clear and it was encapsulated. I recovered quickly and was actually back running as normal after 4 weeks. I do a lot of exercising before and I think that made my recovery great along with a great doctor. I didn't experience any incontinence or any of the other factors men tend to be concerned about.

I feel very fortunate and it's brought a new perspective about life. My buddy hasnt been so lucky. His had spread to lymph nodes and beyond. He had surgery, radiation, and hormone treatment and still dealing with it 8 years later.

Mine was similar five years ago, age 75. Had a biopsy, cancer.

He gave me the options on treatment. I selected "Brachytherapy". They insert radioactive seeds into the Prostate.
The advantage is, after the seeds are in place, you return to normal activity in about a week. It also doesn't leave you with a leaky valve. Since I was a healthy 75, I didn't want to deal with diapers for several years.
My PSA now is less than .o1.

That’s (68) not very young for that score. FIL had same gleason and higher PSA. Lafayette urologist wanted to do SX. MDA said some radiation and surveillance. All has been perfect since.