Apr 29, 2011 - 10:30 pm
I received the results about 3 weeks ago. In the process of trying to buy some life insurance, I found that I have PC. PSA is 3.96, Gleason of 3+3(6) and believed to be in the T1c stage. We are waiting for a second look at the pathology from Hopkins but assume it will be correct or very close. The findings indicate 7 of 14 positive biopsy cores with 3 perineural invasions. Four cores were marked 20%, 20%, 50% and 90% and the other three were not marked with a percentage. The cancer is all on the left side with the right side 100% benign.
In the last 23 days I have done a lot of research and spoken to several doctors and multiple patients. Clearly the truth lies with patients. I have been involved with ACS for almost 30 years and assume this conversation and information site is the absolute best.
It has been amazing to me that virtually every Urologist I have spoken to has quickly recommended surgery; mostly due to my age (54). I am set to speak to 3 solid raiotherapy doctors in the coming weeks and expect they will recommend their specialty.
I am absolutely certain that my QOL is second to survival, but probably not as far a second as with many men. If the percentage difference in success rates is close, I feel there are some things worth taking a small risk for. In short, with the individual cure rate stats being somewhat close for primary treatments, it would seem logical to strongly consider the one least likely to cause long-term urinary or sexual side effects...especially with 3 perineural invasions of my left side nerve bundle.
Am I just as likley to experience long-term side effects from radiation? My research so far would indicate a much lower percentage of serious long-term side effects with radiation over surgery (especially incontinence)...while surgery seems to hold an edge for 10 years cure rates. Is this correct?
While waiting for a second opionion on my pathology, I would really appreciate any guidance you guys can give me.