What was the % of core in your positive core%. How may cores were taken. What is your age? Please fill out your profile so we can beter help you.
Watchful waiting is a good strategy, you may have to get treated in the future if your cancer progresses. But 75% show no progression in 3-5 years. There is a small risk (under 5%) that your cancer will spread beyond the cure window. You have to be willing to accept this.
I would get a color doppler ultrasound to establish a base line so any future changes can be seen. This can eliminate future unnessary biopsies.
Test your PSA every 3 months
UCSF has a large trial program on watchful waiting, you may want to contact them.
Ask your doctor about
Supplements like lyc
opene, pomegranite, Vitamine D, and green tea may slow PC growth.
Eliminating red meat and dairy will help your PC as well as your heart.
The most important thing is to continue to get tested often because if the cancer starts growing you will have to act.
There is a good probability that you can delay treatments for many years and possibly never have treatments. Good luck, ther is a lot of infor on watchful waiting on YANA website.
64 years old.
I had an initial PSA test in 1999 of 4.4. PSA increased every 6 months reaching 40 in 5-08. PSA free ranged from 16% to 10%. Over this time period I had a total of 13 biopsies and an endorectal MRIS all negative and have seen doctors at Long Beach, UCLA, UCSF and UCI. DX has always been BPH and continue to get biopsies every year.
In 10-08 I had a 25 core biopsy that showed 2 cores positive, gleason 6 at less than 5%. Surgery was recommended and I was in the process of interviewing surgeons when my wife's oncologist recommended I get a 2nd opinion from a prostate oncologist.
I saw Dr Sholtz, in Marina Del Rey, and he said that the path reports indicated no tumor, but indolant cancer clusters that didn't need any treatment. He was concerned that my PSA history indicated that I had a large amount of PC somewhere that had yet to be uncovered and put me through several more tests.
A color doppler targeted biopsy in 11-08 found a large tumor in the transition zone, gleason 6 and 7. Because of my high PSA Dr. suspected lymph node involvement, 30% chance, and sent me to Holland for a Combidex MRI, even though bone and CT scans were clear.
Combidex MRI showed clear lymph nodes and a 2,5 cm tumor in the anterior. I was his 1st patient to come up clear on the Combidex which has a 96% accuracy,
I've been on a no meat and dairy diet since 12-08 and PSA reduce to 30 while I awaited the Combidex MRI.
The location of the tumor in the anterior apex next to the urethea makes a good surgical margin very unlikely. Currently on Casodex and Proscar for 8 weeks to shrink my 60 mm prostate. Treatment will be seeds followed by 5 weeks of IMRT while continuing on Casodex and Proscar. So far no side affects from the Casodex.