Cordmd

[TCbandlover]

I am 72 years old in fairly good health. Elevated PSA in the 5-7 range lead to a MRI which showed no abnormally and later a biopsy on September 16, 2022. The biopsy confirmed cancer in 6 out of 12 cores. All were G6 (3+3) with a t1c grade. Active surveillance was recommended by everyone which I totally agreed with. Decifer score came back low risk. On June 2 of 2023 had a confirmatory biopsy which showed 7 cores cancerous with 5 cores being G6 and 2 cores being G7 (3+4). One of the G7 percent patterns was 4:5% and the other was 4:10%a. One of the G7 cores was an upgrade from an earlier G6 and one was new that was benign originally. One of the G6 in the first biopsy actually came back benign in the second biopsy which makes me think there may be something there that didn't get picked up the 2nd time. Perineural invasion was identified in one of the G6 cores. My dilemma is what to do. This falls somewhere in the intermediate range and the team is calling it intermediate favorable even with two G7's. I had the PSA taken again on September 6 and it is 5.89 which is actually lower than the 6.15 that came back on February 23, 2023. Both the surgeon and the radiologist where I go are saying I could stay on AS or get treated. The fear of course is that it may spread but the potential side effects of treatment (thinking radiation) are scary as well. Has anyone been in this situation that can speak to how you handled this gray area and the outcome. It would be greatly appreciated. Cordmd

[j-o-h-n]

Both the surgeon and the radiologist? Where's your Medical Oncologist (M.O.)? Get one...........ASAP

Good Luck, Good Health and Good Humor.

j-o-h-n Saturday 09/16/2023 3:08 PM DST