Posted 12/15/2006 12:06 PM (GMT -8)
No additional biopsy. Epstein also found one tiny focus of 3+3 to go with the 3 atypical foci. U of M and Epstein were identical in their biopsy readings.
At 48, and with a location in the mid base and apex, waiting would only insure one thing....an ulcer! Treatment was necessary whether it be now or later.
The tumor burden = 16% of the gland at final pathology. That isn't so tiny a cancer. 16% of a 42 gm prostate isn't big but it isn't small. Imagine what it would have been in a 25-30 gm prostate? Probably positive margins at the apex...yikes! Paul made the right decision. Age and location were definately major players.