Sometimes our first choice of a urologist is in error and it becomes necessary to get a second opinion. The first uro I was referred to missed the little prostate tumour that was bursting through the capsule.....twice
. When my PSA hit 11.1, I demanded referral to another uro. He found 12 of 12 cores fouled with G7 cancer.
My thoughts here? Second opinion and another biopsy, just in case.
66 yo, 2012 PSA=11, biopsy 11/12, 12/12 cores +. DVRP 12/27/12. 36 g gland 35% PCa,EC ext., 2 SV+,+ marg T3bNXMX, G7(4+3). 2 week post-RP PSA=0.2, Firmagon ADT. Cont @ 3 mo, EBRT prostate bed and interior pelvic lymph nodes ~ 80 Gy/40 ses. Last 6 mo. Eligard 10/14. 4/15 T=2.2, PSA<.02. 10/16 T=204, PSA=.08, 2/17 PSA=.13, 3/17 T=307 PSA=.19, 4/17 PSA=.21, 4/18 PSA=.65 6/1 PSA=1.15