Welcome to this forum, although I am sure you never really wanted to be here, given that your husband has PC it is a good place to be. I have just been through your thread on the other forum - your family sure has been through a lot.
If you are doing the research for your husband, a good tip I heard here was to get your hands on all the test reports including psa tests, biopsy tests, and other tests you may do in the future. This takes the guesswork out and allows you to be confident in the numbers and the details of your husband's diagnoses.
The percentages on most biopsy reports relate to the percentage of the individual cores that have cancer. So, for example, the core from your husbands left base has 3+4=7. But is the cancer right through the core, or is the cancer only on a tiny portion of the core? This is the question that the percentages answers and it is useful because it gives you some information on the extent of the cancer. I think it would be unusual not to have these percentages on the pathology report. As a matter of course it is suggested by many here that the biopsy slides should get re-examined by a lab that is very experienced with Protate Cancer. Do you live in the US, if so Bostwick is a good lab from what I hear.
Low free PSAs suggest cancer and high free PSAs suggest a benign condition called BPH. This test is particularly useful pre-biopsy, it would have been good to do this test last year when trying to decide between watchful waiting and the biopsy. I think it has limited use post-biopsy once the cancer has been found.
If you are going for surgery,
open or davinci, the most important thing is to find a surgeon who has done 500+ surgeries and is recommended by his past patients. The surgery is very complex and the skill and experience of the surgeon has a large bearing on the outcome. Take your time in finding the best surgeon you can.
The only other suggestion I have is to ask a lot of questions. People here know a lot. They have been through what you and your husband have gone through.
Husband's age: 52. We live in Sydney Australia.
In 2007 my husbands PSA level was 2.5.
In Feb 2008 it was 1.7
In Oct 2009 it was 3.67 with a free PSA ratio of 27
In Feb 2010 it was 4.03 with a free PSA ratio of 31.
In June 2010 it was 2.69
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
Next steps: Nerve sparing RP on 20th August 2010.
My husband's maternal grandfather died of prostate cancer at 72. His maternal uncle died of prostate cancer at 60. Because he is the third generation to be diagnosed he has hereditary PC.
Post Edited (An38) : 8/3/2010 7:34:18 AM (GMT-6)