Like many I have been reading comments on this forum for months, learning much about dealing with pca. I finally decided to "jump in" and join the discussions.
Here is my background - sorry if I included too much or too little:
Biopsy June 2007. PSA=6.0. 2 of 10 cores contained adenocarcinoma; 1 with 30% involvement, 1 with 8% involvement. Gleason score of each core 4+4=8. No evidence of extraprostic extension, lymphovascular invasion, or perineural invasion. Confirmed by second pathologist at Loma Linda University Medical Center Aug. 2007
Bone scan June 25,2007:"negative"
Prostascint scan Aug. 2007: "mild focal uptake in the prostate gland without other abormal activity in the pelvis or abdomen."
DaVinci radical prostatectomy Sept. 2007
Post-op Gleason 4+5=9; Stage pT3b N0 M0; margins negative
Post-op PSA history:
Nov. 2007: 0.08
Feb. 2008: 0.09
May 2008: 0.1
Nov. 2008: 0.12
Feb. 2008: 0.16.
May 2009: 0.17
Jan. 2010: 0.26
May 2010: 0.29
My urologist says that if (when) my psa reaches 0.4 he will urge me to begin hormone therapy. From comments on this forum and other sources I am reluctant to begin this treatment.
Since psa doubling time and Gleason score seem to be significant factors in deciding what to do, I found a site (http://ar.iiarjournals.org/content/30/5/1633.abstract) to calculate doubling time and another (http://urology.jhu.edu/highlights/10.php) to calculate survival rate based on doubling time and Gleason score.
One calculates my doubling time as 26.1 months and the other chart lists the odds of my surviving 5 years after surgery at 98% and 10 years at 86%. These numbers cause me to be wary of starting another treatment when my psa reaches 0.4. Any thoughts would be appreciated, and sorry if this post is too long - first time.