Jun 06, 2012 - 11:58 am
I’ve just been diagnosed with prostate cancer. The information I’m receiving makes me a little puzzled, since on some measures, I am low risk, and other measures I am quite high risk. Books seems to suggest that prostate cancer is different for each person, but that makes deciding which is which factor is important when I have conversations with my doctors. My doctor says that the high PSA and the jump in the last year is all that matters in the determination. Does anyone have any insights from their experiences?
New information: Prior to a second opinion, I had an additional PSA test done, and it dropped from 31 to 17. In three months, it went from a ten year average around 14 to 24, to 31 after an additional month, and then back to 17 in an additional month.
Age is 66. Good health. Walk several miles each day. Parents lived past 90. Cancer survivor wife provides VERY healthy diet.
First high PSA in in 2001.
PSA has ranged from 10 to 14 for the last ten years.
Biopsies in 2001, 2002 and 2003 showed no cancer.
Disease was not palpable, even in 2012.
Decision was made not to do further biopsies until the PSA rose.
PSA in 2012 was 31. Biopsy showed cancer.
Pathology report showed the following:
Some things like non palpable and small involvement indicate low, while other like Gleason and PSA change indicate high.
Bone Scan: No indication of cancer outside prostate
Size of prostate has increased by 50% to 59.
This seems pretty complicated for me to judge. Thanks for any experience to help me understand what besides the doubled high PSA matters from others’ experience.