I understood the point of your original post just fine. It's important to tell to someone new to PC. With a regular prostate biopsy, the 6-14 core typical, the results, as my dr. said, is an estimate at best. Even if it picks up a core or two, it may be missing the bulk of the tumor, and it may be missing the worse part. It took my 3rd one to hit pay dirt, and boy did it, with 7/7 positive up to 90% cancer. Jim here, had a 32 core satuation type, and still has but one core, so its more likely that they are seeing the bigger picture of his cancer involvement.
I know what you mean, there is always a "gamble" factor involved in deciding when to deal with the cancer and by what means. We still live in an age, whether people like to admit it or not, that the only way to know for sure "for sure", is after the prostate is removed via surgery, a full pathological study is made, and then you can have full staging information, full gleason knowledge, etc. Even the best color doppler scan or any other present day scan method isn't going to tell you the fullest story.
(No, this doesn't mean someone must choose surgery - not a hint for surgery)
With 1 of 32 cores positive with a Gleason 6, at the least, there would be sufficient time to do something, or to choose to effectively use AS while thinking it all through. Is there still risk in this possible AS situation? Absolutley, Depends where the tumor is located, how close to the "edges" so to speak, and though more unlikely, did the biopsy miss a nugget of higher grade cancer?
So I think your post brought up good information, and didn't need a disclaimer by still another poster.
David in SC
57, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.33rd Biopsy
: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3Open RP:
11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09Path Rpt
: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos margin
Incontinence: 1 Month ED: Non issue at any point post surgery, no problem post SRT
Post Surgery PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12
Latest: 7/9 met 2 rad. oncl, 7/9 cath #6 - blockage, 8/9 2nd corr surgery, 8/9 cath #7 out 38 days, 9/9 - met 3rd rad. oncl., mapped 9/9, 10/1 - 3rd corr. surgery - SP cath/hard dialation, 10/5 - 11/27 IMRT SRT 39 sess/72 gys ,cath #8 33 days, Cath #9 35 days, 12/7 - Cath #10 43 days, 1/19 - Corr Surgery #4, Caths #11 and #12 same time, 2/8-Cath #11 out - 21 days, 3/2- Cath #12 out - 41 days, 3/2- Corr Surgery #5, Caths #13 & #14 same time, 3/6 Cath #13 out - 4 days