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High First Post RP PSA test

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User
Posted 14 Oct 2024 at 12:54

Hi Des. Great to hear your SRT went smoothly. Let's hope the 'smooth' continues. If you are talking about the risks of castrate resistant PCa, i am guessing that you are going to be on HT medium/long term rather than short term. I can't offer any advice on Decipher testing. It's not something I have come across.

User
Posted 14 Oct 2024 at 17:13

Hi Chris,

When I have read about the Decipher test it is positioned as a good tool to look at your biopsed PC genetic biomarkers( the things that can indicate the relative genetic instability that Dr Kwon talks about). In the material I have read it is mostly mentioned as a tool to avoid over treatment since it is specifically is predictive of metastatic probability . So if someone is low on the test scale then they may not be radiated or suggested ADT. Pathology confirming I am Gleason 9 I would like to see how high I am on the Decipher scale mostly because although I am scheduled on 18 months of Lupron my oncologist has mentioned 24 months or longer. The Decipher test is available on Medicare over here but I am not 65 yet. 

https://euoncology.europeanurology.com/article/S2588-9311(18)30215-3/abstract

Cheers Des

 
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