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Hi Maria,

I can't give individual advice on this platform, but focal therapy is never advisable if there is likely metastatic disease.

Cheers,

Jeremy

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Thanks for the reply. My sister is finishing a post graduate genetic research degree and suggested genetic testing of the cancer biopsy would be useful. It doesn't seem to be done much in Australia [vs general Braca testing]. I'm curious about your thoughts on its helpfulness?

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Thanks for sharing your thoughts. Would you say this is not advisable in a Gleason 4+3 intermediate with probable lymph node involvement[enlarged on Pms?a pet scan] and potential metastasis on a left rib-ie surgery better option?

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