• Anyone with active surveillance experience?

    Asked by Dick_K on Monday, June 27, 2016

    Anyone with active surveillance experience?

    I just got the results of my fourth prostate biopsy. Of the twelve sections, only one had prostatic adenocarcinoma with a gleason grade of (3+3)=6. (My first two biopsies each had cancer in three sections with gleason grades of (3+3)=6. The third biopsy was NED.) With a current PSA of 3.09, I will continue to follow my program of active surveillance with routine exams.

    Melanoma scans are scheduled for early August and I expect everything to continue to be stable.

    3 Answers from the Community

    • geekling's Avatar
      geekling

      Best wishes and very good luck to have your expectations fully met

      about 4 years ago
    • Indyeastside's Avatar
      Indyeastside

      Never did watch and wait. But monitor desease progession with PSA. If levels climb I go back on Lupron treatments, if not I get a break. PSA is the king for me..way of tracking how active my cancer is.

      Talk to your doctor and get a good understanding of his plan of treatment and study up. Pays to know a lot about protocol. I'm in my eighth year, original PSA was 85. Stage IV but PSA now is under .008.

      Good luck and may you keep the beast at bay.

      about 4 years ago
    • martian's Avatar
      martian

      I did make this choice in 2011 and 2012. (had treatment after second biopsy which showed on sample out of 14 to be an 8 while one other was a gleason grade of 7. One other was a 3 + 3. The rest were healthy tissue. I don't know what the time intervals were between each of your 4 biopsies. Was the PSA readings changing too. I monitored my PSA progression and DRE checks every 3 months. I finally made a decision after the psa went beyond a 12. My bone scans were clean at all times and it was confined to my prostate gland. (I did Lupron for 18 months and had casedex also before I decided on radiotherapy. If you have the money you could go to a place where they do some of the best diagnostic - modern imaging. I chose watchful waiting and my numbers, after 3 years this August are within safe limits. I all depends on the genomic make-up of the cancer cells and whether they are either a fast or slow developing type,which, as I mentioned before they can determine currently at the best medical facilities. Final word - do lots of self-educational educational research and definitely change your diet. I recommend 2 books for starters and don't forget to join a support group: (don't know your age) 1. Winning the battle against Prostate Cancer" by Gerald Chodak."Dr. Peter Scardino's Prostate Book. " Good luck on your journey! Get lots of opinions from others and from the medical literature.
      I do NOT regret my decision. Maybe with a lifestyle change you will able to monitor your cancer's progression. There's some incredibly new advancements in the management of prostate cancer. Best of luck! Only you can make the most important decision that is correct for you - after you go through the most thorough reasoning process possible.

      Martian

      about 4 years ago

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