Without Avodart your PSA would be about
double, which places you PSA about
This is troublesome, since the criteria for low level PCa calls for a PSA of 10 or less.
Even though the cancer is on both lobes, it is still very low volume.
For reassurance I would get a second opinion on the slides by an expert world class pathologist who specializes in prostate cancer so that you are not under or over treated. Determining Gleason scores are subjective
I would still see an expert on Active Surveillance for a second opinion.
I would seek an MRI with a Tesla 3.0 magnet, the gold standard to see if extracapsular extension is existent, will show and rank suspicious lesions within the prostate by size. Excapsular extension is highly unlikely, but this test is necessary to see what is happening, so you can pursue a localized "active" treatment, by an expert.
Post Edited (hopeful and optimistic) : 4/17/2013 1:15:08 PM (GMT-6)