Looking for any advice as a newly diagnosed prostate cancer patient troubled with decisions.
Diagnosed with Prostatic Adenocarcinoma Jan 2, 2018 at age 47 yrs.
PSA levels monitored since turning age 40
- 08/30/2011 - 2.7
- 08/11/2012 - 3.0
- 08/13/2013 - 2.7
- 07/17/2014 - 3.37
- 2015 - skipped annual physical that year
- 06/16/2016 - 3.5
- 11/02/2017 - 4.9 - primary doctor suggested now is time to see urologist
- 11/15/2017 - 6.19 (had sex day of, was not aware could affect score, DRE was done before blood draw)
DRE - revealed normal prostate as described by initial doctor and a doctor seen for 2nd opinion
12 Core Biopsy performed Dec 22 with results Jan 2:
6 showing positive for cancer
- 3+3, 5mm, right base, 35% of total biopsy
- 3+3, 3mm, right mid, 25% of total biopsy
- 3+3, 10mm, right base lateral, 55% of total biopsy
- 3+3, 1mm, right mid lateral, 10% of total biopsy
- 3+4, 10mm, right apex lateral, 40% of total biopsy
- 3+4, 2mm, left apex lateral, 15% of total biopsy
Prostate gland size - 19cc
Initial Urologist who did exam and biopsy has recommended having the prostate removed and does the robotic type.
2nd opinion from Urologist who does the prostate removal as
open surgery has also advised best option is removal.
Both have stated I am NOT an ideal candidate for AS. Both are steering me away from the other treatment options suggesting my number of cores detected makes me an unlikely candidate for success. I believe they covered all of the other options during my visits. After researching I can pretty much confirm they covered accepted alternatives. Both suggest radiation would be a bad long term outcome for me as a first treatment option and I should definitely avoid it before doing some other option whether it be removal or not.
Have had no physical symptoms. Father diagnosed at 69 (5 years ago) when experienced trouble trying to urinate, had cancer confirmed and had prostate removed. No cancer seen since.