Posted 8/10/2008 10:43 PM (GMT -7)
As you can see by my signature line, I had similar results in my post surgical pathology report and pre-surgery diagnosis. It was a real jaw dropper for me when my surgeon gave me the news. I had been "happy as a clam" thinking that once my prostrate was gone, I would be cured and nothing to worry about. The only blessing I could think about for awhile, was that at least I knew the extent of my cancer, and by having the surgery, I had second options. Try to relax, recover from your surgery, add some prayer, and do what you're doing now - getting more information.
At the three month mark, when my PSA was good, my surgeon and oncologist both discussed the prospect of adjuvant radiation therapy. They discussed recent studies that showed that for cases like mine, this therapy in the first year decreases the incidents of biochemical reoccurance. When my 6 month PSA went up to .08, I made up my mind, and opted for hormones and radiation. I have a bit less than a year left on my hormones, and had no problems with the radiation. My PSA's have been great, and I'm hoping that once I'm off the hormones, that will continue.
In all, my pathology report was a real bummer, but take heart in that you do have secondary options. I personally don't feel you need to jump into a decision today, but look at your first PSA's and talk to your doctors.
Age 57 at diagnosis (2006), PSA 4.7 (up from 3.2 one year previous)
Biopsy November 8, 2006 1 of 10 cores positive 5% LEFT Side Gleason 3+3
Robotic surgery January 19, 2007
Post Surgery Pathology Stage T3a, Gleason 3+4, positive margins and capsular penetration RIGHT Side
Post Surgery PSA: March 5, 2007: 0.01 5 month PSA 0.08
Adjuvant therapy began June 26, 2007 with Zoladex injection
Radiation began August 23, 2007, ended October 8
First post radiation PSA, December 18, 2007: 0; March 2008 - still 0; July 2008 - 0