I am not posting this to make Epstein look bad, he is considered one of the few select top pathologists in PCa evaluations, but this patients case is not typical and may be one the might have slipped through the cracks. Really gives us an incite as to how bizarre PCa assessment can be and the value of mulitple opinions (multiple pathology and biopsies done).
On this one the value of multiple opinions seems to be very critical and wise for this patient, whom took the time to reflect on his treatment plan(s) he was considering based upon actual pathology findings, read his story. Have I ever mentioned Twilight Zone? It is bizarre at every twist.
Good hunting and best of luck to Dave in whatever his future in this may reveal.
Zufus: Dx-2002 (urinary blockage-100%) Age 51 then, unreal psa(46) and pathology(12/12-all 80-95% vol.), gleasons 7,8,9's, scans appeared clear,...unreal I am still here 7 yrs. later and ok(considering) thus far, any regrets in choices...not so far, current (psa .36). All blood markers, pyrilinks and other(onco-docs) tests all have been in normal ranges for years now, blood pressure usually 108-120 over 60-70 ranges (fortunately), testostostorone was even not long ago in normal ranges without huge spike in psa (off all drugs for 2yrs., up till Nov. 2008), of course cannot take anything for granted with PCa especially high risk folks. Hey, I may post more than some others (no doubt), I also might not be here to post one day, so thanks for being considerate or understanding.