Hello and welcome here, Riverbend, and for coming out of the shadows of lurking, lol. Use to live in a community in central Florida called Riverbend when I was in high school.
Your questions and concerns are all normal and legit. I am convinced the post about
a downscaling of the gleason from a 6 to a 3 was a mistake or a typo. Even a Gleason 5, is rarely ever diagnosed.
Some of the great PSA/Overtreatment debate here and in the media is very subjective in nature. You will have to determine what you can or can't live with, God forbid, you end up with a PCa diagnosis. I am hoping that you won't, and hopefully the biopsy will settle that for you.
While there are a few cases of downsizing so to speak of Gleason scores after surgery, its more the exception than the rule. On the other hand, upgrading is more common. With some men, its the same after surgery as it was detected in their biopsy. Every case is different, every guy is different.
The argument about
"over treatment" or too much testing becomes a very mute subject when one gets diagnosed with an agressive case of PCa. Then the subject at hand doesn't tend to think in terms of being overtreated, he ends up wanting to be treated, wanting to be free of the curse of Cancer in his body. Including my case of PCa, I have been through 3 other serious bouts of cancer since I turned 45 years old, so I am speaking first hand.
At your age, your PSA could easily be the results of some non-cancerous event in your prostate. You didn't say if PC ran in your family at all.
I started getting my PSA checked at age 50 because that is what I was told by my GP to do. There has never been a known case in my family. My GP was using the tried and true standard of 4.0 before suggesting a biopsy. I wish now, in hindsight, that I had my first biopsy at age 50 after my first PSA, because it was already high for my age, and it kept going up year after year, until it almost tripled from age 55 to age 56 when the 3rd biopsy diagnosed the PCa.
My advice is to take the biopsy in stride, and as my old boss would say, it is what it is. Again, I hope and pray that your's comes up clean. This is one club you really don't want to be a member of, but you are certainly welcome here, and glad you are among us. Good luck to you.
David in SC
56, 56 at DX, PSA
7/7 5.8, 7/8 12.3,9/8 14.5
3rd Biopsy Sept 08: Positive 7 of 7 cores, 40-90%, Gleason 7, 4+3
Open RP surgery 11/14/8, Right nerves spared, 4 days hospital, staples out 11/24/8, 5th cath out on 1/19/9
Post-surgery Pathlogy Report:Gleason 3+4=7, pT2c, 42 grm, tumor 20%, Contained in capsular, clear margins, clear lymph nodes
First PSA Post Surgery 2/9 .05, 6 month on 5/9