I was diagnosed with prostate cancer in March 2019. I live in Omaha NE. I had a pre-treatment PSA of 3.8. My biopsy had 50% positive cores (7/14). Gleason 3+4 = 7. Unfavorable intermediate based on number of positive cores. stage II. I was 56 at time of diagnosis and am 57 currently. I was also diagnosed with kidney cancer in January 2019 and had my right kidney removed in February 2019. Subsequent scans for my kidney have been clean. Otherwise in good overall health.
I’ve been under the care of an oncologist and have been taking Bicalutamide since being diagnosed. Had been checking my PSA every three months and now it’s extended to every six months. December 2019 PSA was 2.3. April 2020 PSA was 2.2. Will go back to Oncologist for 6 month check up next week. Also had a full body PET scan in 2019 and my bones were clean.
I’ve also been visiting a urologist who recommended active surveillance. In addition I’ve visited with a radiologist who recommends surgery. My oncologist recommends continuing active monitoring while taking Bicalutamide, as long as PSA is decreasing or not increasing.
At this time I don’t have a treatment plan beyond what I described. Happily married and lifestyle is important to me. Interested in your thoughts of treatment and timing? Thanks for your help.