Something's not correct...either what your doctor is saying, or what you are hearing...I can't say which. But this..."...the caner [cancer] protruded from the prostate. At that point I was told it was no longer a intermidiate [intermediate] cancer, it is now classified an aggressive cancer. As such, surgery is the prefered [preferred] treatment" is problematic.
If PC has left the prostate, surgery will NOT cure it. Surgery ONLY will remove the prostate. In fact, the common surgical protocol is that if a surgeon opens up a patient and observes an advanced case of PC which involves spread beyond the prostate, then he will stop and abort the procedure BEFORE removing the prostate because the surgery obviously will be insufficient and would require a secondary treatment...likely radiation therapy. The surgeon when then likely recommend the patient to see a radiation oncologist because RT has a greater possibility of resulting in a cure whereas surgery will not.
Something's getting lost in your communication...
I believe the word was "protruding." Not left the prostate. Suspicion it was.
I cannot find the report, I have order a copy. I'll post it when it arrives.
I had this biopsy done at Columbia in NYC. The second opinion on these slides were sent to Johns Hopkins, Baltimore, MD.