Can anyone share their opinion as to my chances of escaping the need for post RP radiation treatments?
I’m most likely going to choose surgery as my treatment and it may take place as early as last week in September. I have my pre-operation consultation on September 10. I know I may not know whether I will be completely cured and whether or not I will need radiation post RP until after surgery. I have to admit that I’m hoping for any positive signs.
Here is my profile:
-59 years old; run 10-13 miles 3-4 days a week, half marathon once a year for the last 5 years, pescatarian diet,
-father diagnosed with PCa at 72 (G8) plus he had a bladder tumor he had to remove
-my Last PSA was 10.03
-TRUS biopsy 12 core, Nov 2017, 5 out of 12 cores with volume, all Gleason 6, some PNI in one core
-BPH, slow urination, and prostatitis symptoms for years before
-MRI-fusion confirmatory Biopsy results, June 2018 from 16 cores showed 4 higher grade cancers:
a 3+5 lesion
a 4+ 3
a 3+ 4
The above leads me to calculate from my report that the rest of this biopsy is Gleason 6 (4 cores) and Benign (7 cores).
Any thoughts given the above profile on the chances of escaping the need for radiation treatments post RP?