Hi Nor, sorry to hear about the cancer. Not the news any of us want to hear.
First thing I think you should do is get your slides reread by a different pathologist and someone who has lots of experience with prostate tissue. Your reader may be the best in the world, but you still want a second set of eyes. Then, you go with the worst case scenario as the basis for your treatment decision. That decision, but it watchful waiting, surgery, radiation, HIFU, whatever, will depend on a number of factors, your age and general health being key.
Certainly from what information you've given us this is not a panic situation.
This site tends to attract, perhaps almost by definition, those who are interested in their disease and, like myself, want to know exactly what the situation is, what the options are, and then make informed decisions. It may well be a moot issue whether or not the informed few really fare any better than those who simply accept their doctor's advice and go with it. But, I like to think my research and understanding of my PCa will, long term, make a difference to my life span and its quality. Certainly I didn't do exactly as my doctor suggested, but close enough that he wasn't too fussed.
If you're one who wants to know, and your presence here suggests you are, then you're at the start of an interesting journey and if a second pathology report confirms the first, you've got lots of time to become educated.
Sheldon AKA Sleepless
Age 67 in Apil '09 at news of 4 of 12 cores positive T2B and Gleason 3 + 3 and 5% to 25% PSA 1.5
Re-read of slides in June said Gleason 3 + 4 same four cores 5% to 15%
June 29 daVinci prostatectomy, Dr. Eric Estey, at Royal Alexandra Hospital Edmonton one night stay
From "knock out" to wake up in recovery less than two hours. Actual surgery 70 minutes
Flew home to Winnipeg on July 3 after 5 nights in Ramada Inn --- perfect recovery spot!
Catheter out July 9
Final pathology is 3 + 4 Gleason 7, clear margins, clear nodes, T2C, sugeron says report is "excellent"
Oct 1st 09 -- dry at night, during day some stress issues.
Oct 31st padless 24/7
First post op PSA Sept 09 less than 0.02
PSA on Oct 23, 2009 less than 0.02
PSA on Jan 8, 2010 less than 0.02
PSA on April 9, 2010 less than 0.02
PSA on July 9, 2010 (one year) less than 0.02