Oct 14, 2012 - 5:41 pm
I hope no one if offended by this post. If they are, I apologize in advance. The reason I am posing this question in this forum is I have often wished I had someone to talk to whom I had no emotional involvement hoping I would get more logical answers than emotional answers.
7/1999: Left/Right biopsy: Right side (no further specificity was given) had “a single focus of atypical glands”. PSA was 8.2 pre-biopsy.
8/1999: Lab results were read by a second lab (Air Force Institute of Pathology) that diagnosed it as “focus of carcinoma, well differentiated, nuclear grade I.
12/1999: 6-Core biopsy: All cores negative for cancer.
4/2000: Veterans’ Administration Hospital Lab examined the slides from Air Force Institute of Pathology and concurred it was “invasive prostatic adenocarcinoma” and added the comment “too few glands to Gleason Score”.
4/2000: 12-core biopsy: Right Mid (RM) and Right Mid Lateral (RML) positive for Prostatic Intraepithelial Neoplasia (PIN).
12/2009: 12-core biopsy: All cores negative for cancer, no PIN
9/2012: 12-core biopsy. Right Lateral Base core with 5% involvement, Gleason 3+4=7 and PIN; RML core with 50% involvement, Gleason 3+4=7; Right Lateral Apex core with PIN and Atypical Small Acinar Proliferation (ASAP). Pre biopsy PSA 7.7
From 1999 to present PSA has been anywhere from 8.2 to 1.5 – no real trend.
Other health issues: Degenerative Joint Disease (DJD) in neck and lower back; repeated kidney stones/Stage I of kidney disease. Treatment for DJD resulted in a perforated ulcer and precluded any further use of Non-Steroidal Inflammatory Drugs (NSAIDs). NSAIDs were also suspected in the cause of kidney disease.
I am approaching the decision on what, if any, treatment to seek for my prostate cancer. I sometimes look at the possibility of getting treated as extending the quantity of life but decreasing the quality of life. I like to look at things from a statistical point of view as much as possible (the engineer in me). If I could graph quality of life versus time, the graph might extend farther to the right (more time) but on a lower horizontal scale (less quality). I fully realize both scales are very subjective and guesses at this point as I don’t know what the treatment would do to the quality of my life or to the duration of my life. I am pretty much convinced any treatment would decrease my quality of life – I just don’t know by how much. My DJD causes me almost daily pain and/or headaches which already has my quality of life at a sub-normal level. I have sought and received some treatment for the DJD but at this point the neuro surgeon is suggesting fusing the joints in my neck – at least three of them. I can’t imagine what that would be like. I am not sure I want to imagine that. I think I am looking at the possibility of decreasing my quality of life even further to extend it. I ask myself why I would do that.
I realize this post isn’t going to win any “best in category” awards but I hope to get some honest comments back. Does anyone see my point? Has anyone every asked similar questions?