Hello Everybody,
Age 66 and in good general health. No diabetes and not overweight. Only take two medicines at a low dose: Lisinopril and Simvastatin. Sixteen months ago a nodule was felt during annual physical. PSA was 0.90. A biopsy done fifteen months ago showed one core (of 12) with 10% Gleeson 6 (3+3). Did Active Surveillance with a full body bone scan, Prostate 3T mpi MRI, and pelvic MRI and everything was clear. Did 3 month PSA checks since then and they have stayed at 0.90. Went for a one year follow-up biopsy on August 27th and got the following results:
TRUS biopsy - 12 specimens - #1 right lateral base, Prostatic ductal adenocarcinoma, Gleeson's score 8 (4 + 4), Grade Group 4, involving 1 of 2 cores and 10% of the tissue, perineural invasion not identified - #9 left lateral mid, Prostatic adenocarcinoma, Gleeson score 6 (3+3), Grade Group 1, involving 1 of 1 core and 10% of the tissue, perineural invasion not identified - #11 left lateral apex, Prostatic adenocarcinoma, Gleeson score 7 (3+4), Grade group 2, involving 1 of 1 core and 10% of the tissue, 5% of pattern 4 identified in Gleeson score 3+4=7 cancer, perineural invasion not identified - all other 9 samples benign prostatic tissue, no tumor seen - cancer appears to be confined to the prostate
Went to see my doctor two days ago after taking a 3 week long vacation in the Canadian Rockies. He is the Chief of Urology at a center of excellence cancer hospital in Philadelphia for a consultation. We decided not to do radiation (I want it as an option down the road) or focal treatment (scans do not show a defined local area to treat with HIFU or Cyberknife).
So, I am scheduled for robot assisted laproscopic removal of the gland on 11-21-19. Time to do get serious about doing my Kegels. I have a lot of reading to help me with my decision. One of the best books I found is "The Decision" by Dr. John C. McHugh. He is a practicing urologist/surgeon who has prostate cancer. I recommend it to help as a guide to all of your options if you are newly diagnosed.
Mike