just have a few questions.
1. Does anyone know how fast this cancer spreads.
2. HOneltly what are the chances that it could come back.
3. IF the doctor gave you the option of radiation after surgry, said it was not necessary but you could do it if you watned would you do it?
1. No, some spread quickly, many are indolent. Gleason scores of 8 or higher are regarded as higher risk.
2. No-one knows that either. With recent more extensive screening, most men are diagnosed with early stage lower risk G6 PC. Large majority of these have various treatment options to provide good long term prognosis.
3. No, not unless there is higher risk diagnosis, in which case additional treatments should be seriously considered.
As gleason readings are subjective, it pays to have a 2nd reading to confirm where you stand, before rushing into choosing treatment.
Regardless of what treatment is chosen, most important factor is to select the best doctor available, as he will have a big influence on both short term and long term outcome, and provide the best chance of few side isssues.
It's also worth reading a good book on the subject. For a comprehensive overall book on diagnosis, treatment options, selecting your doctor, lifestyle considerations etc, the book by Lee Nelson is very good. For someone considering surgery, the books by Dr Scardino or Dr Walsh are often recommended.