According to his grade he is in the unfavorable intermediate category (group 3 of 5). But his SV invasion puts him in the very high risk category even without positive margins. Said that, his 7 year low PSA without any adjuvant therapy before this recurrence is a good indicator of a less aggresive behavior. Now he has a double psa period of 6 months that is not too bad, but not good either. I would recommend to visit a radiation oncologist without waiting those 3 additional months, but I understand that his doctor opinion may prevail.
67 years old.
PSA: 2008:2.8; 2012-2016: 4.5-5.5. 2013: two biopsies (ASAP and neg) and a neg mpMRI.
Feb, May, July 2017: 5.5, 6.1, 7.6; free: 25%-20%
mpMRI, July 2017: PIRAD5 5.
Dx August 2017,Gleason 3+3, 2 cores, left 5%, right 3%.
Prostate more than 100 g. DRE +.
Manual LRP, november 6, 2017.
Bilat., 30% and 5%. G 5+3. Clean margins, not other features.
January 31, 2018: psa 0.08
Post Edited (jmadrid) : 3/8/2018 6:27:13 AM (GMT-7)