Welcome to HealingWell. As you've already seen, it's a great place for information and support.
My numbers were remarkably similar to your husband's, as you can see below. Positive margins are always worrisome, and after reading my surgical pathology I pressed my doctor on the question of whether we should pursue adjunctive radiation therapy. He was remarkably casual about
it, and said the positive margins will probably never cause a problem. Two years later my PSA is still undetectable.
Of course, that's no guarantee that it will always be undetectable, and part of me is still waiting for that other shoe to drop, but I can live with a little ambiguity in my life. You never really know for certain whether you're clear of this thing or not anyway.
In light of your concerns, my experience, and all that's been suggested here -- you and your husband might want to seek out a third opinion with a medical oncologist who specializes in PCa. The one difference between your husband's pathology and mine that jumps out at me is that his positive margins were at the posterior apex. It might be something to ask an oncologist about
. I don't know if that's the basis of your doctors' opinion that radiation is necessary, but it might be worth asking about
You'll never know for sure what the right course of action is, but that conversation might help clarify things for you. I hope he can avoid radiation and live a long and healthy life, and one more conversation with one more doc might give you some assurance. Here's hoping...
Three of 14 cores positive: 10%, 60% & 80%
Stage T1C; Gleason 6
open RP at Cleveland Clinic 11/10
Post-surgical pathology: Gleason 7 (3+4)
Three positive margins; Stage T2c(+)
PSA since surgery: <.03
AdVance sling: 12/11 -- Much drier than before
Post Edited (Jazzman1) : 10/6/2012 2:19:05 PM (GMT-6)