Prostate cancer suspicion !

I'm located in Southern California ,any good doctors/prostate cancer centers ?
Thanks !

Thanks "we can do this" !
I know I'm into the low risk category ,unless I've been under diagnosed ...
I read all kinds of stories where low risk patients after surgery turned out to be into a diff category ,like intermediate or even high risk
Right now ,if my Dx is right I can be in AS for as long as the disease doesn't progress,and that's fine with me,believe me I'm in no rush ,but what if down the road turns out that I've been under Dx ?!
That's why my questions is ,apart from color Doppler ultrasound nd biopsy ,psa total and free ...do I have any other option of investigate this ?!
Thanks!

Your 10 year probability of survival is 99% regardless of what or any treatment you choose. The 1% mortality rate was confirmed by Klotz and all were variants that looked like a G6, but were in fact a rare variant that caused death within 5 years regardless of treatment.

If it is a true G6, which should be confirmed by another PC pathologist like Epstien at Hopkins, and given your low psa, AS should be your first choice. The principal behind AS is that the majority of G6s don't have to be treated, ever. The only way to know which G6s progress vs those that don't progress is to watch them over time. Treat if progression is shown or continue to watch if it remains stable.

Bahn is one of the best in discovering PC by CDU guided biopsy. He only targets suspicious areas, that's why only 1 core was positive. If the cancer is too small to see by a very experienced CDU doctor then it is too small to hurt you. Once you get a pathology confirmation on your biopsy sample you can reasonably be assured that the staging is correct and you have a very low risk cancer.

Dr Bahn found my cancer after 12 biopsies over 10 years and one MRI failed to find it. I would put a lot of faith in his ability to DX pc and get it right.

Post Edited (John T) : 5/19/2017 10:51:10 AM (GMT-6)

Thanks John T!
I'll have those slides send over John Hopkins asap!

back off the paranoia, PC isn't like other cancers. It grows slow and you've got so little.

A good AS program will provide you with all the information you need on when to get treatment.

That day could be years, decades or never from now.

Andrew

Novi, You are having the same thoughts and asking the same questions that I was, eight years ago. I have been on active surveillance ever since, with no progression in my prostate cancer.

That's eight years of reading and hearing regrets from men who rushed into surgery or other treatments when they could have been more patient and asked more questions.

At this point, you appear to have a "very low risk" class of PCa. That does not mean that you should ignore it. You will need, at the least, to have confirmatory tests like a 3T mp-MRI followed by a fusion repeat biopsy, and additional genomics and other tests to be be certain that a higher grade cancer has not been missed. These are all part of a formal AS program. In my opinion, that is what you need to be learning about. Good luck.

From just googling "prostate active surveillance southern California", I see that UCLA and USC have ongoing AS programs. I'm on the east coast, so I'm less familiar with CA.

Great! Keep us posted on that trial and your status.

Doctor bahn just called,letting me know that the cancer is not at the apex but rather at the mid-section and according to him is better cause at the apex would be closer to the neuro-vascular bundle?!

Post Edited (Novi68) : 5/28/2017 10:19:19 AM (GMT-6)

Thank you for the reply Tall Allen!
What's your take on the prostvac (psa-tricom) though?!

So do you think I should go for it?!

Novi68,
By your user name, I think you might be from one of the former Yugoslavian republics.
Am I right?

MK