Your case is exactly the reason for the current flap of giving men psa tests. If they did a 34 core biopsy on all the men your age, 50% of them would have a positive biopsy, and if you were older the % positive would pretty much match your age. I hope your doctor explained this to you because it is important in the fact that most men over 50 have PC in thier bodies. It is also obvious that 50% of men over 50 never get treated for PC and very few die from it. Prostate Cancer runs the entire gamut from being very benign to being very agressive. The benign stuff (gleason 6, low positive number of cores) does not kill people, except if you have a rare varient.
Take a deep breath, because in the very worst case you might get symptoms in 15 years if you did nothing and in the best case you will die from something else in your 90s. In any event you have years before you even have to do anthing about
it. Indolant cancer clusters are very common, sometimes they disappear on their own, most of the time (70%) they never progess to the point that would hurt you and some of the time they progress, but if treated the cure rate is exactly the same as if treated immediately.
All of this should be good news. The best news is that the biggest danger in waiting to do anything is that the traditional 6 or 8 core biopsy may have missed an agressive cancer. The fact that you had a 32 core biopsy and they only found one spot is an excellent indication that it is indeed indolant.
You will hear various opinions on this board, but the facts are that you have years to decide what to do with out any danger. In your case if you sought immediate treatment you would be treating fear rather than a disease. Take your time and evaluate all options. Get an opinion from a doctor that is experienced in active surveillance or look at the trials going on in AS at Hopkins and UCSF. Google Laurence Klotz and read about
his studies on AS. Bone up on all the side affects of various treatments. The fact that over 50% of the posts on this forum relate to dealing with the side affects of surgery should tell you something. You will also hear a lot of things about
other treatments such as radiation and seeds that are myths (the rate of impotence after seeds is much less than the impotance after surgery and does not get worse after the 2 year mark).
The basic undisputable fact is that with a low core gleason 6 every treatment option, including doing nothing results in a long life with a very small chance of any symptoms in your lifetime. In fact the results of every treatment is exactly the same in cure rate and disease specific death. You will also hear that young men should never go on AS. The facts don't bear this out as it is the type of PC, agressive or non agressive, rather than age that is the real factor in progression.
Good luck on your journey, it will be a long one and will affect you psychologically more than bodily.
64 years old.
PSA rising for 10 years to 40, free psa 10-15. Had 5 urologists, 12 biopsies and MRIS all neg. Doctors DXed BPH and continue to get biopsies yearly. 13th biopsy positive in 10-08, 2 cores of 25, G6 less than 5%. Scheduled for surgery as recommended by Urological Oncologist.
2nd Opinion from Dr Sholtz, a Prostate Oncologist, said DX wrong, pathology shows indolant cancer, but psa history indicates large cancer or metastasis. Futher tests and Color Doppler confirmed large transition zone tumor that 13 biopsies and MRIS missed. G7, 4+3, approx 16mmX18mm.
Combidex MRI in Holland eliminated lymphnode mets. Casodex and Proscar reduced psa to 0.6 and prostate from 60mm to 32mm. Changed diet, no meat and dairy. All staging tests indicate that tumor is local and non agressive. (PAP, PCA3, MRIS, Color Doppler, Combidex, tumor reaction to diet and Casodex, and tumor location in transition zone). Surgery a poor option because tumor is located next to the urethea and positive margin is very likely; permanent incontenance is also high probability with surgery.
Seed implants on 5-19-09, 3 hours door to door, no pain, minor side affects are frequency and urgency; very controlable with Flowmax and lasted 4 weeks. Daily activities resumed day after implants with no restrictions. Gold markers implanted with seeds to guide IMRT.
25 treatments of IMRT 6 weeks after seed implants. No side affects at all.
PSA at end of treatment 0.02 mostly the result of Casodex. When I stop Casodex next week expect PSA to rise. Next PSA in November. Treatments and side affects have greatly exceeded my expectations. Glad to have this 11 year journey finally conclude.