When I was evaluated for prostate cancer I can remember the ambiguity I kept hearing from my PCP and Urologist. Your PSA is up it might mean you have PCa or not. The biopsy came back negative it may mean you do not have PCa or we may have missed it. The second biopsy same thing. I then had an MRI which came back with two suspicious spots. I was told this could be noting or it could represent significant cancer. My third biopsy found G6 which I was then told could mean that thats all there is or he missed a more aggressive cancer.
Raypaul I'm glad you stated what's probably been on a lot of guys minds. Mine too seemed like a tug of war between the GP and the Uro... but I see you had THREE biopsies, with the first two just a couple months apart. And still they managed to miss the cancer. Yikes! I believe you are fortunate that it was still organ confined after all that poking.
And I'm glad TC posted his story (sorry mine was so long... I start out thinking they will be short, but don't always end that way). TC's case is probably more typical... some suspicious blood work, a physical examination that is also suspicious. Hmmm... you have some signs it might be cancer. Then comes the traditional hand wringing. OMG could I have cancer? and OMG might I need to have surgery? And I also understand how many guys would be all concerned about
possible ED... there are worse things.
No, the worse case is you know you have something wrong, but nobody can figure out what it is. I know there are guys who are discovered to have a slightly elevated PSA, then learn that their tumor has already metastasized to their bones (those are the ones that really break my heart) while there are still others who have had equally elevated PSA's for years and years and have basically given up on repeated biopsies.
In my case, and maybe Raypaul, it was actually kind of a relief to finally learn that I had cancer. That was not the shocker. The shock was that it took three years to find it. I realize there are limitations in the practice of medicine as well as further restrictions imposed by the insurance companies. But catching any cancer while it is still stage 2 is far better for everyone than tossing it about
for several years waiting for it to hit stage 3 or 4.
Once I had the diagnosis then there were the usual decisions, mainly RA or RT. The most difficult part was how to tell my (adult) children, and then just a few months later that their mother also has cancer. With that out of the way, dealing with the SE's of HT and the fear of getting an AUS seem like just some rough spots on the road. After having to fight the medical system in both my own case as well as my wife's, I always take great satisfaction when I read about
the majority of people whose cancer is discovered during some routine medical exam, it is treated, and they can get on with the rest of their lives.
2014-15: PSA 9,12,20,25 Neg DRE, Neg TRUS biopsy
2016: MRI Fusion biopsy, Rt Base, 2x 100% G8 (4+4)
8/16: DaVinci RP, PNE, 6mm EPE, 2xSVI, pT3b
2017: Lupron ADT, AMS800 AUS scheduled 5/17
IMRT SRT postponed til that heals, PSA's ~.03
Age 66, recently retired to Florida 'just in time'
Post Edited (RobLee) : 4/17/2017 12:25:13 PM (GMT-6)