I'm glad you found us, though i wish you didn't have to. As a fellow engineer, Detroiter, and G9 ... i'm with you.
Partin tables it seems to me are a fairly quick Burma Shave sign on our journey. By the time you get scan results back, they're mostly irrelevant.
There is a flow chart; i'll share it with you as long as you realize that this is the 'standard' treatment. One of my doctors is one of the authors ... and they're much more aggressive about
going after a G9 especially when patient is on the younger side.www.jnccn.org/content/10/9/1081.full.pdf+html
Surgery isn't necessarily the 'gold standard'; there's great success with Brachytherapy as well. But all that depends on the results from the scans. If you ask you'll get quite the spirited discussion going ...
My plan going in before i got the scans was roughly:
* Clear scans --> Surgery or Brachytherapy, patients choice. Also since G9 likely adjuvant HT and/or IMRT.
* Lymph nodes show in scans --> HT and IMRT and other adjuvant treatments possibly chemo. HT as needed ongoing until something better comes along or it doesn't work any longer.
* Bone mets show in scans --> HT and potentially some cyberknife, and clinical trials of upcoming drugs, Chemo etc. HT ongoing until something better comes along or it doesn't work any longer.
I ended up in the second category ... i've gotten in front of it and won some battles. Thanks to having some aggressive doctors to help me. And i'm looking forward to many good years.
2006 PSA 1.1
6/9/12 PSA 36.3
7/2/12 DRE 1 lobe Age Dx 49
7/2/12 biopsy G9 12 of 12 plus 2 on SV
7/9/12 Bone scan 0 CT multiple nodes T3cN3M0
7/13 Lymph node biopsy confirms, started Casodex
7/24 PSA 21.3 Started Lupron
8/14 PSA 0.4 Started Zytiga 10/22 PSA 0.4 11/13 PSA 0.20
11/26 -- 1/9/13 Cone Down IMRT lymph nodes
12/26/12 Stopped Zytiga (cost)
1/15/13 PSA 0.2 3/27/13 PSA 0.033!!