Welcome here, glad you found us and have been lurking and learning. In my opinion, with your husbands stats, they would normally recomend surgery. The percent of cancer in his biopsy cores is high and would be a big concern to me. You said they didnt reccomend surgery because of his weight. I have heard of that as being a problem with robotic surgery, but rarely a problem with
open surgery, like I had. Usually after seeding and/or conventional radiation treatment as the primary treatment, the PSA after treatment won't get down to a "zero" as you have seen most of the surgery men here. The other disadvantage of having the seeding and/or radiation first, if it doesn't work, then having salvage surgery is difficult at best, and many surgeons and/or urologist/surgeons won't even do them. I am sorry your husband, and you, are having to go through this PC ordeal. But hope you can find some comfort among us.
With his pre-treatment Gleasons being "7", and with the high percent of cancer in the core, still a bit surprised they wouldn't reccomend surgery as first line of treatment. My pre-surgery stats were similar to your husbands, and they wouldn't do "seeding" for me, and they didn't think radiation would get all the cancer. Have you been to more than one doctor for an opinion?
I also agree on the book suggested, I had read it cover to cover several times before I even had a PC dx.
Good luck, and keep us posted.
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