Barry, good article, thanks for thinking of me and sharing it, I had read part of it from Walsh's book, but not the newer study.
I think what concerns my doctors, not so much that I am a Gleason 7, and btw, I was downgraded from 4+3 to 3+4 which is a bigger deal than some realize, it was because of the incredible velocity of my PSA pre-surgery, in the final year before dx., it had tripled or more.
I reel in horror sometimes thinking, what if I wasn't being checked since age 50 by choice, or if I never had agreed to the 3rd biopsy which found the PC, what would it be like now if either I didn't know or chose not to do anything. Academic of course, because they did find it, and I didn't waste any time getting my primary treatment.
This Hopkins study is confirming some of my thoughts that my situation is not a dire emergency to force me into salvage radiation. If I need it, I need it, not arguing that point. My PSA is still a long way from even the most conservative of the salvage threshold levels, so I still feel "safe" waiting till early August for another PSA test, and see if there is any real rise.
Thank you again,
David in the Palmetto State
57, 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 capsule, one post. margin, clear lymph nodes
First PSA Post Surgery 2/9 .05, 5/9 .10, 6/9 .11, 8/11 ?
Lastest 7/13 met with Rad. Oncl, they want to start radiation, 70 gray, I am still considering all options and opinions