Apr 11, 2009 - 6:07 pm
I am 66, in execelent health, eating right with regular exercise. A urologist found a growth in the cavitiy, not on the prostate, so I had a biopsy March 2, 2009. Two of twelve core contained low amount of cancer .05/100, on the right side. My gleason is 3+3=6. My PSA is 2.2 and has been at this level for a couple of years. The urologist who did the biopsy told me that there was a very low chance that it spread beyond the prostate, and that I am a good candidate for any treatment option (that they would all like me as a patient).
I went to a person who calls himself a oncology doctor at Long Beach Memorial, Long Beach, CA. He examined my prostate a few weeks after the biopsy, told me that my prostate was medium to large and that he felt bumbs on the prostate, and that he thought that my range was between I think a 2c and a 3b, and that there is a 40 percent cnance that the cancer spread outside the prostate, and he wanted me to go for a bone scan and an MRI.
Well I read in a urological guide line that a bone scan is not recommended , unless special circumstances for a gleason that is less than 8. I also did not get an MRI there because I made an appt. to see a robotic surgeon at another institution.
Basically, this guy made me very nervous.
About two weeks after, I saw a "world class" surgeon, told him my story. Immediately, he told me that I am a candidate for Watchful waiting, that I have indolent cancer (not likely to spread), felt that that was the way to go, and he thought negatively about the radiation man; apparently you can't tell the stage by feeling the prostate, and wspecially after a biopsy. (so watch out for sharks in your quest for mediical attention).
Well now, I would like to find out exactly what the recommended protocol is for "watchful waiting" so I can be informed. Any suggestions on how to find this?
Any opinions about the choice of this treatment option "watchful aiting".
Not being a medical professional what other things do you think that I should take into consideration?