My husband and I met with Urologist yesterday and he was diagnosed with prostate cancer. Here is the information from the biopsy report in condensed form.
PSA 10.44 3/11 up from 7.5 1/11
DRE Isolated nodule
T2a left mid
10 of 12 cores positive for cancer
3(4+3), 5(3+4), 2(3+3)
percents of cancer found in each core(25,26,32,36,40,46,50,57,67,89)
Gleason score 3+4=7
Perineural invasion found in 5 samples High grade PIN found in 1 sample
Bone and CT scan no evidence of spread
Okay, uro said there was a large amount of cancer found and because of that he classifies his cancer as highly agressive instead of the moderate which the gleason 7 reflects. He also said the cancer had only been there less than 2 years as he performed a TURP on my husband in Sept 2009 in which he removed 50% to 2/3 of prostate tissue all of which came back negative for cancer.What happened to the 10-15 years that it takes for pca to grow?
He said my husband had only 2 options for treatment. The first is the da vinci robotic surgery where he would remove entire prostate along with 3-20 lymph nodes and no nerve sparing promised. He said this was a 1 night hospital stay and 7 days home with catheter.
The second option is external beam radiation (5 days a week for 8 weeks) followed by 3 years of hormone shots.
He recommends surgery as if that fails then they can still do radiation but not vice versa.
He also said there is a 50% chance that the cancer has spread from the prostate .
He said whatever decision is made that my husband needs to make it immediately and he would do surgery right away.
I thought they would not do surgery that soon and protocol was normally 6-8 weeks post biopsy.
We have a Vegas vacation booked for mid July and the uro said he cant wait that long but if he absolutely had to he would give him a hormone shot before vacation and surgery upon return.
Does anyone have similar stats to my husbands and chose one of the treatments over the other? I would appreciate any and all responses. And do you feel an urgency in this as the uro has expressed to us.
Thanks in advance!