English Alf said...
Welcome to the forum, (Sorry you find yourself here too)
The immediate thing you need to do it nothing. That sounds like a crazy notion, but what I really mean is that you need to take a deep breath and realise that even with Gleason 8 you can take a while to work out what to do next.
Provenge is meant to be the big hope so that could be a good option, but you'll have to ask a lot of questions about that.
Combination of surgery and RT can sort out a lot.
QFT (quoted for truth) Take a deep breath and try to relax. Don't make any snap decisions and do lots of research. A G-8 isn't the end of everything even though it isn't the best diagnosis. Try to find the best specialist you can and hit it hard. As you can see from my sig' I was G-8 with tertiary 5 and so far I'm undetectable, no telling what the next year will bring but so far so good.
Wishing you the best.
Dave in Durango CO
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"
03-01-10 RRP 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...... 10-26-10 <0.04...... 1-25-11 <0.04
05-03-10 1 week without pads