6/18 areas positive - 2 in left base, 4 left apex. 6/40 cores pos. G6 (3+3). 33cc. T1c. Bone scan neg.
Uro said 2 in left base, 4 left apex, but looking at the path report, I see:
L apex anterior, L apex mid, L apex posterior, L apex lateral, L base mid, L base lateral
Seems to me that the whole left side in involved including the mid, but the Uro drew a prostate, divided it into 6 sections and put 2 marks in top left and 4 marks in the bottom left.
I got a copy of my scan and biopsy report.
Doc says he recommends surgery (and would not wait 6 months), although says that rad is an option also. He does not do robotic, but has Docs in his office who do. Does not recommend AS due to my age (61). I did ask how long I would live if I did nothing and he said that "they" say 17 years average. I did like the thought that someone posted that if you do AS, who knows what advancements may come about
while on AS. The Uro I saw had RPS 5 years ago and everything is back for him (no ED and continent).
I feel like this is a good report and the best I could have hoped for (other than saying the biopsy was a mistake and I don't have PC).
My next step will be to set up an appointment with Mayo and see a Uro and a Rad doctor that have been recommended and get their opinion as soon as I can get an appointment. Hopefully I can see both on the same day. Then I have some tough decisions to make. Seems like the options all have advantages and disadvantages. RPS seems like it's a especially tough first 2 months, out of work for 7 weeks, invasive surgery, and tough 1st year, but then things get better and back to normal for most. Radiation seems like it's good up front, much less invasive, back to work the next day. with some burning for a month, not a lot of other problems, but later down the road ED and a possible bump in the PSA. No PS after radiation if radiation does not work.
Any thoughts about
Edited to add signature which for some reason does not display.
PSA 4.3 9/10
PSA 5.5 2/11
PSA 7.1 3/11
Template Biopsy 6 pos out of 40 3/25/11 GS 6
Post Edited (Gleason 6) : 4/18/2011 9:16:05 AM (GMT-6)