New patient

I am 71 years old living in Houston Texas and It's been 3 years since I was diagnosed. I feel good and in great health.

I have been on active surveillance. It started with my PSA level going above 4.0 since 2018 to 6.5 currently. My doctor recommended a urologist and he recommended a biopsy--which we did in December 2019. Fortunately only 2 sections (RLB and LLM) had cancer and both had a Gleason score of 3+3=6 so we decided to monitor it. In April 2021 we had another biopsy as my PSA went to 6.0. The results of the second biopsy showed that RLB had gone up to 3+4=7 and LLM benign, but there was a new section RMB 3+4=7. Again we decided to monitor it. In April 2022 my urologist said we should do another biopsy. This is when I decided to go to M.D. Andersen for a second opinion.

In June 2022 they did an MRI and a couple weeks ago we did another biopsy. If I'm reading the results correctly then the LLM is now 3+4=7 with less than 5% gleason pattern 4. The RLB is the same 3+4=7 with 5% gleason of pattern 4. The RMB now shows no tumor.

The 3rd biopsy also shows 3 regions of interest which probably came from the MRI test. the Right Medial Apex anterior, the Left medial apex anterior and the left lateral apex. All 3 show 3+4=7 with 5% Gleason pattern 4. I think the first 2 biopsies were 'posterior' so i wasn't sure about the "anterior".

Based on these results, I'm inclined to continue active surveillance. I will be visiting the doctor soon to go over the test results but i thought I would reach out to this forum for suggestions on what to do and what questions I should ask my doctor?

Thanks in advance!