when trying to determine my stage i found the staging tables somewhat confusing and conflicting. i was told by my urologist (who is an expert at a major hospital), that if my DRE was negative (which it was), that even though i had cancer in both lobes, i was stage T1c. In other words, if you have a negative DRE, you don't go to the next stage T2, even if the cancer is in both lobes. see the table below and note what it says in the T1 and T2 headings, which supports what i have said above. if your husband had a negative DRE, i believe he is stage T1c; if he had a positive DRE and both lobes are involved, i believe he is stage T2c.
if your husband has been to three doctors and i assume that all of them performed a DRE, they should have told him if it was positive (i.e., that they felt a palpable tumor) or negative. In any case, your husband should have asked the result of his DRE. i suggest that a phone call be made to his primary doctor to ascertain this information and clarify exactly what stage he is at.
the problem with the medical profession is they don't necessarily tell you anything unless you ask! you have to be proactive and become as knowledgeable as possible about
prostate cancer (or any other medical condition) and ask as many questions as are necessary. good luck!
STAGE SUB-STAGE DEFINITION
T1 Clinically unapparent tumor, not detected by DRE nor visible by imaging
T1a Incidental histologic finding; <5% of tissue resected during TURP
T1b Incidental histologic finding; >5% of tissue resected during TURP
T1c Tumor identified by needle biopsy due to elevated PSA
T2 Confined within the prostate (detectable by DRE, not visible on TRUS)
T2a Tumor involves half of the lobe or less
T2b Tumor involves more than one half of one lobe but not both lobes
T2c Tumor involves both lobes
68, Biopsy 9/27/06, Stage T1c, PSA 7.1, Gleason 6 [less than 5% in two areas], Gleason 7 (3+4) [less than 20% in third area], negative DRE, bone scan and MRI. Starting proton radiation therapy 2/22/07.
Post Edited (pcdave) : 2/12/2007 8:14:10 PM (GMT-7)