Thank you all for responding. I had a terrible night last night after doing so much better in the past couple of weeks as I prepare for my trip to UFPTI next week (9/17-9/19) for my consultation and work up for proton therapy.
I had decided to give myself a break from all the internet searches I've done the past 2 months and see what the oncologist has to say when I meet with him next week. I just received my agenda for the work up and notice it doesn't include a biopsy. I had expected that it would since they have my mpMRI report and images and can see that the radiologist noted a 7mm suspicious image near or at SV which he thinks could be the primary tumor from which my positive 1mm biopsy core was taken. He thinks it is a moderate chance that the suspicious area is cancer, and if it is he would not be surprised if it contains some Gleason 4 since my initial grading was 3+4 and was downgraded by Hopkins to 3+3. They're implanting gold markers so it would seem to be convenient to do the biopsy. I'm sure the doctor will explain why he's not doing the biopsy.
I noticed that I'm scheduled for some lab work on my first day which got me to wondering if they would check PSA again. That led me to reading about
PSA to see if it's routine to check PSA just prior to treatment. Eventually I wandered into discussions about
PSAV rising more than 2.0 in the 12 months preceding diagnosis. I should have stayed away from the internet.
Allen, as usual your knowledge is comprehensive and current. Your comments and links were especially helpful and reduced my anxiety.
Post Edited (hrpufnstuf) : 9/12/2014 8:12:15 AM (GMT-6)