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Prostate cancer patients are considered high- or low-risk in part based on their Gleason score. Doctors use this tool to determine whether a patient's first treatment should be surgery or radiation, specialists at Memorial Sloan Kettering Cancer Center say. • Learn about MSK: https://www.mskcc.org • CONNECT WITH MSK • Facebook:   / sloankettering   • Twitter:   / sloan_kettering   • Instagram:   / sloankettering   • Request an appointment at MSK by calling 800-525-2225 or online at: https://www.mskcc.org/appointments/re... • {partial transcript} • Let’s say we’ve got an elevated PSA – went for a biopsy and now have been diagnosed with prostate cancer. What I think most men and most people in the audience are interested in hearing is what to do next: Do I do surgery or do I choose radiation? Where do I go from here? • Let’s talk about some of the pros and cons of surgery. It used to be recommended that surgery was more for younger men and disease confined to the prostate? • We certainly reserve surgery for men that have a ten-year life expectancy at least. Men with less than a ten-year life expectancy can be probably treated in other ways that are much less difficult to go through. In the end, surgery is an assault; it basically is an operation that one has to go through. There is a hospital stay. There are catheters. Simply put, there is a lot a person has to go through with an operation, that if a man does not have a reasonable life expectancy, it is probably not worth going through. That’s not always true for individual patients, but most men who have less than a ten-year life expectancy will be treated with some other modality. • A ten-year life expectancy of someone is now age 75, so it’s not as though there should be an age cut off, per se…

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