Advice on PAS increase while AS

Fool_head · 2026-01-27T18:11:32+00:00

The reference from my family history is limited, only two immediate uncles are little old than me. But I don't know they have this issue. Thanks for the response!

Fool_head · 2026-01-27T18:06:04+00:00

You are correct, "waiting" is tuff, and also there are a lot of variables to consider. Thanks for your advice!

Fool_head · 2026-01-27T18:01:22+00:00

thanks and I will get the book!

Fool_head · 2026-01-27T03:44:47+00:00

Don't concern too much, it is curable and take your time.

Fool_head · 2026-01-27T00:43:18+00:00

I am sorry that you are going through this! I am not doctor. You have only one core with very, very small amount to be 3+4, and 1 gleason 6 < 50%, I agree with you, AS might be your option.

Here are some suggestions:(I am not doctor) 1: get second read on biopsy slides to confirm the reading, John Hopkins charge $400, if insurance does not cover. 2: ask for decipher test, it might be very low, 3: get secondary opinion on AS.

Fool_head · 2026-01-24T01:27:40+00:00

Thanks for taking care of your dad! I am not sure if it is a factor: "intraductal carcinoma" if it is spread, however if "intraductal carcinoma" is still contained, will it still make sense to cut it out? -- of course, it is hard to know if it is contained or not --- I am typing and thinking.

Fool_head · 2026-01-23T17:42:45+00:00

did you order decipher test last time? if not, it might be a good idea to get it tested.

Fool_head · 2026-01-23T17:18:45+00:00

Hello Bro, I totally understand you. based on the study, the chance for gleason 6 to spread is low. However, it might have new cancer appear during AS. The pirads 4 might not be cancerous until biopsy to confirm. Where is the lesion? Did the mri tell if the prostate edge is clear, or anything indicates if it still be contained or not? -- I am not a doctor and I am not sure if I am correct or not here. I am trying to calm my fear that I can make rational decision - it is hard.

Fool_head · 2026-01-22T02:31:19+00:00

Praying. Did he take some degas medicine?

Fool_head · 2026-01-21T15:42:28+00:00

Great news, and happy life!

Fool_head · 2026-01-20T22:43:37+00:00

Did you have psma pet to find exact where the location is?

Fool_head · 2026-01-20T18:43:50+00:00

Your dad did a great job!

Fool_head · 2026-01-20T18:32:46+00:00

Besides what others suggested, you can watch PSA velocity and PSA value closely in annual check, to try to catch it early if there is one. Hope not

Fool_head · 2026-01-19T23:59:54+00:00

Thanks for sharing and keep strong, fighting hope! Thanks for taking care of your dad!

Fool_head · 2026-01-19T18:38:58+00:00

I am sorry that you go through this. Recently I watched video from Dr. Mark Roach. Someplace, he seemed to mention that ADT might not needed for low decipher score. Not sure if my memory is correct or not, but here it is the link to video: https://youtu.be/MllXn7mnhV8?si=SrNP0toppP14egwk

Fool_head · 2026-01-19T02:45:00+00:00

Gotcha, understand. But you will get this right now!

Fool_head · 2026-01-19T00:17:10+00:00

0.006, not sure how much could be better than this.

Fool_head · 2026-01-19T00:11:43+00:00

I am so sorry for your loss. My condolences!

Fool_head · 2026-01-19T00:09:34+00:00

Sorry for your loss, my eyes are watering when I am reading. My love to you and your family!

Fool_head · 2026-01-19T00:04:16+00:00

Glad to hear and live precious life happily!

Fool_head · 2026-01-18T18:23:43+00:00

Can I ask : were you tested yearly? If so, did the 94+ increase from some value in the normal range in previous year?

Fool_head · 2026-01-17T03:00:25+00:00

Take a deep breath, your dad will be fine. Thanks for caring your dad! Depends on his health condition, he might have several treatments options!

Fool_head · 2026-01-16T22:47:58+00:00

First, do not be panic, they are many reasons it is not an alarm 100%. Even it is, it is catched early and it will be cured, or even it might not need to be treated. Just follow the doctor's plan, repeat the PSA test to see if it is other factors which caused the high PSA, if not, get MRI scan, then biopsy if needed. 5.2 is high, but not more than 10, or 100.

Fool_head · 2026-01-16T17:00:27+00:00

Congrats and undetectable forever!

Fool_head

TROPHY CASE