I’m currently 71 years old but at age 60 experienced elevated PSA. In 2012 thru 2013 my PSA level went from 6.8 to 8.5 back to 6.5 and now it’s 10. I've been on Active Surveillance and tracked my PSA for over 11 years. Steady increase, however my PSA has generally been higher than the standard. Johns Hopkins conducted Multi parametric MR Imaging and MR-guided TRUS Biopsy May 13. They discovered two suspicious areas; right was benign but the, LEFT MID (BIOPSY): showed SMALL FOCUS OF PROSTATIC ADENOCARCINOMA, GLEASON SCORE 3 + 3 = 6, INVOLVING LESS THAN 5% OF ONE (1) CORE. Five specimens were taken; 2 on the right and three on the left. I also had the 17 gene test called the Oncotype DX Prostate Cancer Test. Very low risk prostate cancer and plan to use active surveillance as my option. I have PSA tested every 4 months and MRI annually. My urologist retired 2017 and now being treated by urologist/oncologist at Duke medical. My MRI Sep 24 indicated lesions that require treatment. The targeted biopsy sampled the suspicious areas. It showed 4 lesions; three were benign and fourth was cancerous.
Prostatic adenocarcinoma, Gleason grade 4+3 = 7/10 (60% pattern 4, grade group 3). Carcinoma is present in 2 of 3 cores and involves approximately 10% of the tissue. I’m considering brachytherapy from Dr Steven Kurtzman but interested in other options. I’m on the Mediterranean diet, slim built and exercise regularly. TIA!
Radiation, Focal or Removal?
Active Surveillance Still a Good Option?
Here we go.......
Prostate cancer what to do.
