i went back to your first post in which you indicated your cancer stage stats as well as your nomogram stats based thereon, as follows:
"After a routine checkup, my PSA was 7.2. The biopsy revealed a Gleason score of 6 and a clinical tumor stage of T1c. The nomogram indicated an organ confined disease at 67%, capsular penetration of 30%." You indicate more recently that your DRE was negative. Keep in mind with a DRE, that the doctor can only feel one side of the prostate. While a negative DRE for one side of the prostate is good, it does not rule out what cancer may be on the other side of the prostate which cannot be examined by DRE.
While your doctor says you are in an early stage of PC, keep in mind that a Gleason 6 is not the earliest stage of PC. many of the members here have a Gleason 6 and stage T1c: the pathology after surgery, for those who elect surgery, sometimes shows a higher Gleason score and stage of PC.
Your nomogram stats clearly indicate that there is a 33% chance that the cancer went beyond the prostate, which is what I was discussing in my previous message. if that is the case, i still don't understand why your urologist didn't order a bone scan. my bone scan was negative, but it did indicate something in my knees which we concluded was related to a past injury and not metastases. i think you need to get a clear and sound reason why a bone scan was not done. even though it is not a perfect test, having it done and finding it negative just add a greater comfort level regarding your stage of cancer. my urologist is director of the prostate cancer group at a major hospital. i have to assume that he ordered the full body bone scan and MRI of my pelvis because these are considered standard tests that would be normally taken in conjunction with the biopsy.
In fairness to your doctor, i have done a little research and there seems to be conflicting opinions on under what circumstances a full body bone scan should be performed. my personal opinion is that i would rather have one just to make sure that it did not come out positive for bone metastases. once you are diagnosed with PC, you never know with 100% certainly exactly what stage of PC you have. if you have any doubt in your mind, you could just tell you doctor that you want a full body bone scan for the record--it an easy test (an injection of some dye into your blood stream and lying under the scanning machine thereafter).
our stats are somewhat similar, except i did have one area of the prostate with a gleason 7 (3+4). i think that both of our doctors are saying that we have a good chance of being cured with radiation, but there is no way that they can say that with 100% assurance. after you find out a better reason why a bone scan was not taken, please let us know. cheers!
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) : 3/25/2007 9:33:40 AM (GMT-6)