Welcome to HW, sorry you need to be here.
Kind a shock to the system isn't it?
I can understand your doctor wanting to be aggressive. That's not a good PSA number. Don't want to scare you more than you likely are, but that's a high PSA number and would lead most doctors to worry if the the PC has spread.
Getting a second opinion on the biopsy report is normal and we always recommend doing that. Reading the results can be a bit subjective so it's best to get a couple of pairs of eyes to check that out.
The problem is that you don't know if it's spread yet and even the bone scan might not be conclusive.
De-bulking just reduces the tumor load and often helps to keep new mets from appearing (at least that is one theory). You should consider it - maybe a little radiation treatment.
I would think you need to be somewhat aggressive in your treatment plan and likely will want to do a couple of treatment modes at the same time (RT with HT, or something). What you really need to do right now is start learning all you can about
this thing. Check out the sticky threads at the top of the forum.
Hang in there, you've got a lot of options and every hope for a good out coming,
I'll be in the shop.
Age 55, 52 at DX
PSA 4.2 10/11, 1.9 6/12, 1.2 12/12, 1.0 5/13, .6 11/13, .7 5/14, .5 10/14
2 out of 14 cores positive
Treatment IGRT - 2/2012My latest blog post