• Prostate cancer - Active surveillance or treatment

    Asked by Roger2Dodger on Tuesday, June 28, 2016

    Prostate cancer - Active surveillance or treatment

    I

    I am 75 years old.
    I was diagnosed with prostate cancer in April 2016. My Gleason score from biopsy 4+3=7..... 16% 2/12 positive cores - AUA risk Intermediate.
    My PSA prior to biopsy 5.83. Clinical T stage T1c. I had a MRI of the prostate and the cancer has not left the prostate. The PIRADS were 4.

    My Urologists sent my pathology remains to prolaris -http://prolaris.myriad.com/ for Genetic testing , to find out the aggressive -non aggressive of my cancer. The score came back 2.6, which was qualified for the non aggressive range. The photo shows an example test result...(the one pictured is not mine.) My urologist recommends I go on AS. AS can cause anxiety as well. I am just not sure what direction to take Treatment or AS. With the above info of my condition , I welcome comments, suggestion or advice. Thank you!

    7 Answers from the Community

    7 answers
    • GregP_WN's Avatar
      GregP_WN

      Did you post a picture on the pinboard page? We don't have the ability to post pictures on the questions page yet. Sorry. I can't help with prostate questions, not my territory, but I'm sure some of our prostate survivors will have some information for you.

      almost 6 years ago
    • Roger2Dodger's Avatar
      Roger2Dodger

      Where is the pin point page?

      almost 6 years ago
    • Jalemans' Avatar
      Jalemans

      Hi Roger. If you are otherwise in good health, I'd do the treatment. I think it is kind of weird that age plays such a factor -- I think someone can be younger & in overall poorer health verses someone could be older & in otherwise great health & easily able to withstand the treatment. I am 59 now & one doctor told me that if I were a bit older they wouldn't even treat my breast cancer -- what the heck is up with that?

      almost 6 years ago
    • Roger2Dodger's Avatar
      Roger2Dodger

      Jslemans,
      Breastfeeding cancer and prostate cancer is very different. Prostate cancer grows very slowly if its not aggressive. My prolaris test results were in the non aggressive range and gave a 3% specific mortality rate for 10 years. Google prolaris.

      almost 6 years ago
    • Roger2Dodger's Avatar
      Roger2Dodger

      Sorry about breastfeeding I meant breastfeeding cancer

      almost 6 years ago
    • martian's Avatar
      martian

      I had a similar situation. I don't know how fast your PSA progression was on your gleason grade, which your data stated it was 5.83. But your other tests suggested that you are in a safe rage, especially with a clinical stage of T1c. I chose a one year AS and checked with my urologist and oncologist every three months. Did a PSA check as well as a DRE and POCT test. My biopsy was 2 out of 12 cores being 4 + 3. I gathered all kinds of information and called all kinds of experts for powerful information processes. Good ideas are within 2 books that I read (my journey started in 2011-12). "invasion of the Prostate Snachers" by Ralph Blum and Mark Scholz,MD. Book 2." Winning the Battle Against Prostate Cancer" by Gerald Chokak.M.D. There is a Prostate Cancer Research Institute Helpline:800.641.7274. Website www.PCRI.org. They will NOT make the decision for you, but they will answer all of your clinical questions. They have all kinds of data, check out their website. After one year, I chose to, after a second biopsy,(4 cores out of 14, 2 3+3, one 4+3 and one 4+4 to do IMRT WITH ADT for 2 years.(casedex and Lupron) . At this point in time I am okay for 3 years with a 6 month check-up. The Mayo Clinic and John Hopkins has lots of data. You have to ultimately make the choice. Your'e in a good spot right now. In your case, based on the data you have presented me, I'd do AS, which is only MY opinion. Keep up doing the most Critical tests and don't forget to change your diet and lifestyle and get into support groups - they were very helpful for me. I'd get a second opinion also. Remember, your genetic cancer make-up is especially unique to you. Maybe you can manage it on your own with "Watchful waiting." Make sure you get quality data if you surf the web. Make sure you also work to preserve your "quality of life." Best of luck when you making those hard choices.

      Martian

      almost 6 years ago
    • Roger2Dodger's Avatar
      Roger2Dodger

      Martian ,

      Thank you for your reply and support.
      Are you still on AS? I will also check out the Web site.

      Again, Thanks

      almost 6 years ago

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