Active Surveillance advice

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User

Posted 11 Feb 2023 at 12:01

I was diagnosed last June but after discussion with Oncology Team agreed to go on Active Surveillance with 3 monthly PSA Tests. They have concerns that Hormone and Radiotherapy may impact on other health conditions ( heart ) . My original PSA was 12 -latest score is 17 and I have appointment to discuss in 10 days. Anyone with similar experience at what point will treatment be needed despite downside on other issues. They did say last year that my situation was a tricky one for them to decide best way forward. I am 70.

Geoff

User

Posted 11 Feb 2023 at 13:59

Hi Geoff, I am not best able to answer your question but if you could fill in you diagnosis result eg biopsy etc. in the bio it will assist others in answering your question.

User

Posted 16 Feb 2023 at 21:50

Geoff. A brief rundown on the diagnosis would be helpful i.e. Gleeson score, MRI results. It would help us comment on the options open to you.

Roger

User

Posted 02 May 2023 at 19:25

Hii

User

Posted 03 May 2023 at 18:00

Hello Geoff, my PSA was rising whilst on W&W, when it went over 10 my urologist decided it was time for treatment. I was older than you at diagnosis and also have heart issues. I had LDR Brachytherapy which has, so far, been very succesful. Your case is probably different. You could ask your specialist to refer you for a second opinion ( your right on the NHS). John

Gleason 6 = 3+3 PSA 8.8 P. volume 48 cc Left Cores 3/3, Volume = 20% PSA 10.8 Feb '19 PSA 1.2

Jan '20 PSA 0.3 July '20 0.1 Jan. 21 < 0.1 Dec 21 <0.01 June '22 <0.01 April '23 <0.01

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