Dec 01, 2013 - 9:30 pm
I wanted to start by saying how much I appreciate the contributions each of you have made to this forum, and how I have already benefited from the knowledge, experiences and opinions you've shared.
Here's my situation:
I am 61, and diagnosed with Pca in October 2013. There is a history of Pca in my family, with my father (who will be 90 in May) and his three younger brothers. One of them died as a result of Pca about 20 years ago.
PSA in 2003 was 1.9, increased to 6.1 in June 2013. Along the way, there were a couple of drops, but in all a steady rise. My pcp has encouraged me to see a urologist since 09, but I have resisted. But the reality of the family history and the 6.1 sent me to the urologist. Biopsy revealed 3 of 18 positive: Rt mid lateral @ 30%, Lft apex mid @ 5%, Lft apex medial @ 30% w/perineural invasion present. Gleason score of 3+3=6 in all cores, with overall Gleason of 6. CT and bone scans negative for mets.
Urologist wants me to move forward with treatment or removal. Radiation oncologist made no recommendation, (he advised taking my time, no rush) although he implied I may be a candidate for active surveillance.
I intend to seek second opinions from both Johns Hopkins and Georgetown. I am encouraged by the growing acceptance of active surveillance, and hope that may be an option for me. If the second opinions lead to the reality that something needs to be done, I am preparing for that eventuality.
If you have any comments, please share them with me. I will do the best I can to stay active here and update as things progress.
My thanks to all...