My husband was diagnosed yesterday with PC.
He took it really well and in the next few weeks we will be making decisions on what to do next.
I have questions and would like your opinion.
As you can see from the footer the diagnosis is Gleason 3+3 in 10% of one core, and suspicious areas in another core but the flip side of this is that his psa has been rising rapidly and at 52 the recommendation in many sits and in Dr Strum's book is that he should be treated aggressively.
1) What is the ideal timeframe to make decisions on what to do next? I know it's meant to be months not weeks.
2) We live in Sydney, Australia - how do we find where the most experienced professionals are. We heard good things about our urologist but we found out my husband he had cancer through mail, he never returns a phonecall and he just seemed quite casual about surgery at the only time we met him.
3) How many opinions/options did you explore - how many doctor's did you see before making a decision? We have Dr Strum's book, this site, quite a few links and PCI tools as resources.
This has all been a bit of a shock, the best part of it though is that we took many of your opinions into consideration about having a second expert opinion on the slides. If not, we would not have known it was cancer. Thank you Bill for the name of the expert pathologist and thanks to all those who pushed us to go in that direction.
Husband's age: 52
In 2007 my husbands PSA levels were 2.5.
In Feb 2008 they were 1.7
In Oct 2009 they were 3.67 with a free PSA ratio of 27
In Feb 2010 they were 4.03 with a free PSA ratio of 31.
Referred to urologist. DRE normal.
Biopsy 28/4/2010: results, negative for a diagnosis of PC however 3 focal ASAPs on left side of prostate at base, apex and at transition resulting in the conclusion "...small acinar proliferation is suspicious but not diagnostic for prostatic adenocarcinoma."
Review of biopsy by experienced pathologist, results,
1 out of 12 core diagnosed with 10% of Gleason score 3+3 cancer (left transitional)
1 out of 12 cores with ASAP (left apex), suspicious but not diagnostic of cancer