May 02, 2011 - 11:39 am
I will be 73 yrs old in a month and am in excellent health, take no drugs of any kind, get plenty of exorcise and eat a mostly vegetarian diet. I am devastated, as I thought I would be the last person in the world to get this cancer. I had a biopsy due to a 5.2 PSA as part of a routine physical. 1 core (right side) out of 12 had cancer, but it has a Gleason of 8 (4+4). It is stage T1c. The pathologist is a specialist and only does prostate biopsies, so I have confidence in the scores being correct. I was immediately scheduled for a bone scan and a CT scan, which both turned out negative, which was a big relief.
I had my first meeting with the surgeon last Thursday to discuss my options and was told that I was not a candidate for seed implantation due to the high risk Gleason 8 and of course, "watchful waiting" is also off the table.
He recommends doing a RP with DaVinci robotic surgery over open surgery. He has done 500 of each. He wants me to see the radiation oncologist, which I am scheduled for on Friday, but he advises me that external beam radiation can mess up my chance for "salvage" surgery, as well as the hormones usually administered can have very unpleasant side effects. He did explain the possible "bads" of surgery, such as incontinence and ED. He also explained that he wouldn't know about exceeding the margin until he got in there and that would be a major determining factor on my chances for nerve sparing. Not quite sure what this "margin" is referring to, but I think it means whether or not the cancer is completely contained in the prostate proper and not in the nerves?
He showed me how to plug my numbers into the Sloan Kettering tool and my results look promising.
After reading many posts in this forum, I see that it doesn't appear to be as cut and dried as I've been led to believe.
Any experiences by others with similar numbers would be deeply appreciated and would be very helpful in helping me arrive at a decision.
P.S. I am not Australian .. My username refers to my Australian Shepherd dog, who helps keep me fit and sane.