New member here, not by choice but by circumstance. I've just been diagnosed with PCa.
I'm 49, married, non-smoker, in decent health with no family history of PCa. I first learned about PSA levels back in 2007 when a test was done in conjunction with an annual physical. At that time, my PSA was 3.7 and my doctor said we'll have to keep an eye on it. Since he seemed not too concerned with it, I didn't pay attention to it assuming he was the doctor and knew better than me. Well, my doctor moved out of town and I let the annual physicals slip. This past January, I finally went to another doctor. I was pretty sick with the flu and I knew a physical was in order anyway. At that time, another PSA test was done and the results came back at 5.0 with a free PSA of 17%. The doctor put me on a 10-day regimen of Levaquin, 750 mg daily. After the Levaquin regimen was finished (in early February), I went back for another blood test, which subsequently came back at 4.5. That's when I was referred to a urologist.
The biopsy was performed on 4/13 and I received the results two days ago (4/19). My prostate was measured via ultrasound to be 25cc in size, which the doctor put at "small to average." He performed a 12-core biopsy and I did get a copy of the results, though the report only shows 6 line entries as listed below:
A. Core needle biopsy of prostate, right apex: Adenocarcinoma, Gleason score 3+3=6, involving approximately 20% of the prostate tissue.
B. Core needle biopsy of prostate, right mid: Adenocarcinoma, Gleason score 3+4=7, involving approximately 50% of the prostate tissue.
C. Core needle biopsy of prostate, right base: Adenocarcinoma, Gleason score 3+3=6, involving approximately 20% of the prostate tissue.
D. Core needle biopsy of prostate, left apex: Adenocarcinoma, Gleason score 3+3=6, involving less than 5% of the prostate tissue.
E. Core needle biopsy of prostate, left mid: Benign prostate tissue, no tumor seen.
F. Core needle biopsy of prostate, left base: Atypical small acinar proliferation.
I have been researching all I can on the internet and the biospy results at least suggest I have a treatable desease. It's just selecting a treatment that's the hard part. I have my follow-up with the urologist next week and I fully expect him to recommend surgery. I plan to meet with my family practitioner after my follow-up with the urologist in hopes she can refer me to a medical and / or a radiation oncologist so that I can learn more about other treatment options. But at this point, I'm not sure options other than surgery would apply to my specific case. I'm scared to death of incontinence but understand this may be a necessary evil that I'll have to learn to live with.
I hope to learn a lot more in the coming days and weeks from this forum and other sources. I've already got the "primer" book on order and awaiting its arrival. Until then, the stress and worry are exacting a heavy toll on me.
Thanks everyone for any words of encouragement. I certainly need them.