Sorry you're here, as to the DRE, my GP did one at my last exam and said "normal" my PSA test from that exam came in at 6.5 and I was referred to a urologist who within seconds said "1.5cm tumor on the left side". Just goes to show you what experienced fingers can do I guess, I wouldn't put too much faith in the DRE done by an intern.
As to the G-9, that was my initial score after the pathologist looked at the slides, it was later downgraded to 8 with tertiary 5. As to treatment paths that is the tough choice. I decided on a RP more to reduce the tumor load rather than a shooting for a sure cure, so far it looks hopeful but nothing is sure with this disease. At your age you might want to try something less invasive, a choice for you and your doctors. A consult with an oncologist specializing in PCa might be a good investment. I do have to say that at your age I would not have done surgery.
From reading the paths of others it does seem that the chances for a normal life span are good. Yananow is a good site for checking out some of the long term high Gleason survivors stories. www.yananow.net/Links.html
Best of luck to you and again sorry you have to be here.
Diagnosed 12-09 age 55
07-06 PSA 2.5
01-08 PSA 5.5 (PCP did not tell me of increase or schedule follow-up!!!!)
09-09 PSA 6.5 Sent for consult with Urologist
11-09 Consult, scheduled for biopsy, found out about
PSA from '08 (yes I was pissed)
12-09 Biopsy, initial Gleason 9 (4+5) later reduced to 8 with tertiary 5, ain't much but I'll take it.
01-10 Bone Scan, "appears negative"
in Durango CO by Dr Sejal Quale and Dr Shandra Wilson, no naked eye evidence of spread, Vesicles and lymph nodes taken for microscopic exam.
03-16-10 Removal of cath' and pathology results of samples.
Multifocal carcinoma with areas of Gleason pattern 3, 4 and 5, Overall Gleason grade 4+4 with tertiary 5, Bilateral involving 21% of left lobe, 3% of right lobe, Invasion of left Seminal vesicle, Tumor focally present at left resection margin, 9 lymph nodes removed all negative, Tumor staging pT3b NO MX
04-23-10 PSA <0.04....... 06-07-10 PSA <0.04..... 08-03-10 <0.04
05-03-10 1 week without pads