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Hi, Tom. I had the same gleason score and was also T11B 13 years ago. My Doc said that radiation might work, but I'd need to get rechecked for the rest of my life. If it didn't, the prostate has been turned into goo and therefore is difficult to remove surgically. If the surgery works, you're cured. If it doesn't, radiation remains a fallback option. My cancer was confined to the capsule, so I had an easy choice. I chose surgery. June 29th will be my 13th anniversary. My whole story is on this website, but I'll repeat the advice that I give. 1) Get info 2) get a second opinion 3) ACT before it spreads. Best wishes.