I think that I read the note about
cancer outside the prostate sometimes (frequently maybe - I'm not sure) not being able to survive without the support of the prostate gland towards the end of Patrick Walsh's book. That gives me back some of the hope that the high Gleason and positive margins took away. And, as you said, the best news of all is that our current PSA is 0.
I agree with you about
not seeking out further treatment until it is more clear that it is needed. I have a 60 year old business acquaintance with similar stats to ours who, after his surgery, is doing chemo, hormone, and starts radiation shortly. I understand his desire to aggressively attack any possibly remaining cancer cells but I am having a hard enough time dealing with my side effects now. I sure don't want to bring on any more unless I absolutely have to.
Did you have a test done on 11/01/06 or something that caused you to note that there might be bladder neck involvement? I wondered why the 11/01/06 date was three months after your surgery date of 08/02/06.
I wonder why my (and your PSA) was relatively low and yet our cancer had still broken free of the prostate gland. That continues to baffle me although I am happier with a low PSA (at least one of my stats was low) than a high one.
All the best,
DIAGNOSIS: 09/25/06. Age 49. PSA 4.6. PSA free 2%. Clinical pathology: Gleason 10. Stage 2a.
SURGERY: 11/08/06. RP at Johns Hopkins. Surgical pathology Gleason 10. Stage T3a (positive margins.) Negative seminal vesicles, lymph nodes, bone scan.