Scott and here is some 'mo' data:
Your pathology besides showing PNI, explained to you on the new thread you just started anyway. You also had HGPIN listed, just so you know what that means it is High Grade PIN I am not going to bother with the PIN terminology you can google such. Anyway it is a possible precursor to cells becoming PCa, they are not normal enough to be benign, there is PIN and HGPIN....very often HGPIN does become PCa at some point. In your case forget about it, you have real PCa already found anyway, but if that was all that was found on your pathology then that is a horse of a different color. Then a guy could do A.S./W.W.
It is your journey going forward, I wish you were like 70 yrs. old it would so much easier to make choices. I assume you already know there is no guarantees with any treatment, and I hope you understand clear scans is absolutely without merits for being totally definitive, they lack. Clear margins and all that are great to know post surgery....and still not a guarantee, unfortunately. The future is psa tests for years and years no matter what you do. The longer you stay in the zero club the better the future overall prognosis. Some people do kind of get-r-done and not live with to much P.I.S.S. (psa intermittent stress syndrome) or such! Life for you will be changed and it is no doubt a one way deal.
I don't usually endorse any methods, all have a place, but brachy/IMTR could leave you with perhaps no incontinence and maybe even lesser e.d. and such (lol) got the and such in there . So I decided I am not endorsing it now (laugh), just mentioning it...this way I don't catch any arrows, I hope.
Right now your head is likely spinning and you wonder is this episode of my life resembling being in the Twilight Zone, is this all for real???? Unfortunately no Rod Serlings playing candid camera or punk'd...all to real. Best wishes in whatever you do. You are no doubt looking it all over...very smart to know up front. Did you read English Alfs surgery information list on this forum....covers stuff you never even thought of concerning the journey. A+ information.
Post Edited (zufus) : 1/29/2011 6:16:07 AM (GMT-7)