There are so many "calculators" - the one mentioned here today, the Partin and Han Tables, and others we have found. Their predictions of future PSA involvement, likelihood of extra capsular penetration, 5 year & 10 year survival, etc are all very dependent on an accurate Stage - even prior to surgery or treatment. We have never had a "Stage" noted by doctors, or biopsy reports. We even had 2nd opinion on biopsy to confirm. We are unsure if it should be a T1C or T2C and the percentages are vastly different depending on this.
The original Urologist who performed biopsy said "unremarkable" on the DRE, but also noted Left side very slightly enlarged. The Volume of the prostate was 32 cc at the biopsy (via ultrasound). There were 10 cores taken and 4 were positive for cancer, ranging from 5-20%. Three were Gleason 6 and 1 core a Gleason 7. We recall the Urologist saying it was in 'both lobes', but not sure where he got that.
Resident we talked to before surgery (WHICH IS IN 5 DAYS - eek!) said "No matter, it will be properly staged after surgery." Any ideas, from all you experienced ones, on what we should interpret about
the "stage" at this point?
Age 54; (Father, paternal uncle and 1 brother so far with Pca) 1999 PSA 2.8; 2004 PSA 2.88; 1/2008 PSA 5.6 & repeat 4.37
DRE - "Unremarkable, L side slightly larger"
Free PSA 0.46 and ratio 0.11
Biopsy 1/25/2008 - 10 Cores - 4 with adenocarcinoma
3 cores Gleason 3+3=6 and 1 core 3+4=7
No Stage given on report, maybe T1c or T2c ?
Robotic Surgery Scheduled for March 17 - eekk!!
Post Edited (FairRider) : 3/12/2008 3:25:33 PM (GMT-6)