My husband is 64 yr old, no diabetes or other chronic issues. We are social, exercise regularly and are sexually active. Living in Hong Kong, he was diagnosed on June 3, 2013 through biopsy after PSA rise over 2 years. We were told it is "Intermediate Stage".
Extent of Tumor:
1. RT Base. 70%
2. RT mid-gland. 40%
3. RT Apex. No malignancy
4. RT Lateral horn upper. 80%
5. RT Lateral horn middle. No malignancy
6. RT Lateral horn lower. 15%
7. Left base. 15%
8. Left mid-gland. 50%
9. Left apex. 5%
10. Left lateral horn upper. 20%
11. Left lateral horn middle. 10%
12. Left lateral horn lower. <5%
From what I understand, this makes the cancer stage T2c, as cancer is in both lobes. DREs have been "unremarkable" by 3 specialists (urologists and RTs) and one has noticed firm lobe on one side only. We have been told by US surgeon at Jonhs Hopkins that stage is according to DRE result and since prostate was unremarkable, it is "Early Stage".
Is it, if the biopsy shows disease in both lobes??
Also,has anyone had nerve sparing surgery with this extent of disease? What are the prospects re: QOL?
Many thanks for any input!