I'm 60 years old. I had a physical in July, 2018, which revealed 5.7 PSA. (Only previous PSA was 1.7 in 2013). Referred to urologist who noticed "hardness" on digital rectal exam and schedule me for TRUS biopsy on September 18, 2018. 12 samples at 6 sites. Got results on September 24, 2018.
"Prostatic adenocarcinoma, Gleason grade 3+3 (score =6; prognostic grade group I), involving .06 mm (~5%) of 1 of 2 cores." Focal High Grade PIN on two other samples.
Did some reading, wasn't too alarmed despite inherent creepiness of having cancer floating about.
Got referred for consult for focal therapy. Doctor wanted to do a 3D mapping biopsy. As I understood, mapping biopsy takes 100 or more samples from prostate. I'm not onboard with this idea. I want this small cancer to remain confined to prostate. It then follows that poking 100 or more holes in the prostate might not be the best idea to promote containment. Just logic, not medicine.
I think the next step is a 3T-MP-MRI. I'm going to wait until December, 2018 to let the prostate heal from the September TRUS biopsy.
Next week I'm flying to Los Angeles for the day and meeting with the Prostate Oncology Specialists in Marina del Rey. I like Dr. Scholz' book and these folks seem like a good source to ramp up my knowledge level.
My guard is up as my little experience in this chapter of life suggests many medical providers peddle their own specific treatment for their own reasons. I want to become informed and calculated in my decisions about my life.
Sorry to be in the Club, but glad I found the Clubhouse. I'm interested in everyone's perspective and thoughts.
Thanks in advance for your time.