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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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72 Years. Detected Early Stage Prostate Cancer. DNA Testing To Determine Aggressiveness Needed?

I am 72 , with early stage Prostate Cancer. Gleason 6, 2.5 psa with one cancer detected in 12 biopsies of 10% located in lower area of prostate near apex. Knowing that most migration of cancer cells occur at the apex should I take the "watch and wait approach or do Breachytherapy and be done with the problem? Or should I do DNA testing to determine aggressiveness before deciding?
Thank you.
Tue, 24 Sep 2013
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HI
Thank fro asking to HCM
First thing is to confirm the final diagnosis and the stage of the disease, after this the best way is resection if possible, if surgical intervention is not possible then chemotherapy would be best, try avoiding Radiotherapy, looking to your age, you may not be able to tolerate this again,, looking to your age and the early detection of disease the prognosis would be great, take care have good days.
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72 Years. Detected Early Stage Prostate Cancer. DNA Testing To Determine Aggressiveness Needed?

HI Thank fro asking to HCM First thing is to confirm the final diagnosis and the stage of the disease, after this the best way is resection if possible, if surgical intervention is not possible then chemotherapy would be best, try avoiding Radiotherapy, looking to your age, you may not be able to tolerate this again,, looking to your age and the early detection of disease the prognosis would be great, take care have good days.