Gleason 6 diagnosis last week. 67 y/o my PSA went from 3.5 to 5.5 which prompted bx.
I had two of 12 biopsies return positive. At 15% and 18% of the core biopsy. Location was left and right lateral and one biopsy showed a high grade intraepithelial neoplasia. I don’t meet with the urologist until the end of April to go over treatment options. I suspect he may recommend active surveillance. Has anyone gone ahead and had surgery completed with a 3+3 score? Any thoughts would be greatly appreciated.
Comments
-
You have very low risk prostate cancer, from what you have posted.
All the major medical associations that issue guidelines for the treatment of prostate cancer recommend active surveillance as the default treatment for low risk men. Every one of them.
I have been on active surveillance since 2009, with no progression of my pathology. No need to chance the often life-altering side effects of treatment if you don’t need it.
But, surveillance must be active, and you need to be following regular testing protocol. The initial biopsy can miss up to 30 percent of higher grade cancers, so you would need an MRI and a targeted confirmatory biopsy within about six months to minimize the chances of having higher risk.
0 -
I had surgery with 3+3 but, had high volumes in 2 cores 70% & 100%. Pathology after surgery was 3+4. I'd probably still be on AS if I had your numbers. Think some AS plans do biopsies at 18 months but, other things like MRI or jumps in PSA might trigger sooner. I did get a second confirmatory biopsy < year later when I changed facilities. My first biopsy didn't have the high volumes.
0
Discussion Boards
- All Discussion Boards
- 6 CSN Information
- 6 Welcome to CSN
- 121.9K Cancer specific
- 2.8K Anal Cancer
- 446 Bladder Cancer
- 309 Bone Cancers
- 1.6K Brain Cancer
- 28.5K Breast Cancer
- 398 Childhood Cancers
- 27.9K Colorectal Cancer
- 4.6K Esophageal Cancer
- 1.2K Gynecological Cancers (other than ovarian and uterine)
- 13K Head and Neck Cancer
- 6.4K Kidney Cancer
- 671 Leukemia
- 794 Liver Cancer
- 4.1K Lung Cancer
- 5.1K Lymphoma (Hodgkin and Non-Hodgkin)
- 237 Multiple Myeloma
- 7.1K Ovarian Cancer
- 63 Pancreatic Cancer
- 487 Peritoneal Cancer
- 5.5K Prostate Cancer
- 1.2K Rare and Other Cancers
- 540 Sarcoma
- 734 Skin Cancer
- 653 Stomach Cancer
- 191 Testicular Cancer
- 1.5K Thyroid Cancer
- 5.8K Uterine/Endometrial Cancer
- 6.3K Lifestyle Discussion Boards