Low PSA = no growth in cancer

Xtim, trust your doctors at MD Anderson. When I was receiving my treatment there a few years ago my primary doctor at MD would present his/ her treatment plan to the Prostate team which consisted of the other radiation and Chemo oncologists  on the staff. So essentially your getting a second and a third opinion about your care. So if this protocol is still followed today i would have confidence in what they suggest. I agree with the above that maybe you misunderstood what was said. However if they can't find any evidence of spread surgery could be an option but from the info you provide your case appears to be a step above where I would be comfortable with that treatment. Specifically the high gleason, number of cores testing positive and the possibility of lymph node and seminal vessicle invasion. In fact I agree with Vasco that if surgery was suggested it must be to debulk the tumor. Good Luck Xtim.