got diagnosed 2.5 years ago, and i have kept the monster at bay while active waiting. Last psa test jumped up to 5.6, subsequent test 5.3 so i went for a biopsy. .
Left apex (2 cores) 6.5 mm (60%, 50%) ,
Left lateral apex (2 cores) 1.3 mm (5%, 20%)
no perineural invasion or extension into extraprostatic fat
gleason grade 3 + 4 = 7
So i need to do something,
So it's back to surgery vs radiation, or is there anything new?
I was leaning toward radiation, till doc mentioned recurrance.
I am 61 and have no other health issues. Doc (when pressed) said surgery is best solution because it has a lesser chance of recurrance. Side effects are immediate but go away. Where with radiation side effects may come later.
His radiation solution is the one night hospital stay, insert , and direct radiation, with a 5 week external radiation treatment. ( does that sound right?)
Where do i find info about recurrance?
Thanks for your help, this forum is awesome
Age 59, very healthy
Psa 2007 3.2
Psa fall 2008 4.9 two weeks later 4.4
11/2008 biopsy, T1c, gleason 3+3=6 low-volume prostrate carcinoma
1 of 12 samples malignant
Left lateral mid .05mm (5%)
CT scan negative
Consultation 12/2008 decided active waiting (diet) while researching options.
Followup PSA in March 2009