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Posted 1/9/2014 9:37 PM (GMT 0)
My Dr. called today with results:
12 cores. 1 core with rate 7 (4+3)
Will be meeting with him to discuss "next steps".

My last biopsy was 18 months ago (negative)
My PSA is 1.45 (I am taking Jaylin)

I would appreciate very much input

idea
Posted 1/9/2014 10:21 PM (GMT 0)
Rig, I would suggest the first thing to do is get the slides re-read by one of the expert prostate cancer pathologists, e.g. Dr. Epstein or Dr. Bostwick. Once the numbers are confirmed or changed you can go from there. Even if the stats hold, you are likely to have many options.

Jim
Posted 1/9/2014 10:21 PM (GMT 0)
Hi. what is your age? What area are you from?
In USA you might have to decide between surgery and radiation.
Good luck on any decision and treatment.
Posted 1/9/2014 10:58 PM (GMT 0)
robert,

Thank you.
I am 71. I live in the New York/Philadelphia area.
Posted 1/9/2014 11:00 PM (GMT 0)
Jim,

Thank you very much. I will definitely follow your advice.
rlg
Posted 1/9/2014 11:43 PM (GMT 0)
Rig,

I had similar results when I had a saturation biopsy back in September. I did my research and decided to have surgery. I'm now 9 weeks post op doing well.

The guys on this site are the best......They are so helpful.

Tailwinds...........Berk
Posted 1/10/2014 2:07 AM (GMT 0)
You definitely should get a second higher opinion of that slide.

Also, what percent of cancer was found in the one positive core?

David
Posted 1/10/2014 3:08 AM (GMT 0)
rlg--With your stats, you have plenty of time to decide. There is no need to do anything until you are certain from your own research and second opinions from medical experts what the next step is, even if it is to do nothing. If you have not already read it, the sticky thread at the top of the PCa forum has some useful information. Stay in touch with us. There are plenty of supportive, knowledgeable guys here to help you in the decision-making process. Take care and hang in there....Tim
Posted 1/10/2014 5:32 AM (GMT 0)
With those stats you have all the options open to you at this point. Getting more details from the doc might point you one way or the other. A second opinion will be valuable as will talking to a URO (aka surgeon) but also to a RO, radiation oncologist and even possible one of the doctors that specializes in PC.

You need to learn all you can about your options at this point. Basically you have surgery, radiation (beam or seeds) or doing nothing. Active surveillance is a possibility you should ask about. PC is a very slow growing cancer and there is the possibility you can delay the whole treatment thing for years (and avoid the nastier side effects).

I'd at least ask your doctors about it and don't pick a treatment till you've at least explored all of them.

You'll just do fine.
Hang in there and keep us updated on your progress.
We're most days if you have more questions,
Andrew
Posted 1/10/2014 1:18 PM (GMT 0)
You really should not despair. My father is your age, and he was diagnosed with metastatic PC 3 yrs ago, and still doing fine. Whatever route you choose, the chances that you will die from PC are very, very low. Because there is a component of Gleason 4, especially if your parents or grandparents have lived to be 90 or 100 or you are in good personal health, then you should consider treatment: surgery, radiation, hormones. I would only recommend to find a good doctor you trust, and to undergo MRI (3Tesla) scans, or similar, because they can more correctly determine the stage of your cancer, and therefore the appropriate treatment (if your cancer is localized surgery would be appropriate, if your cancer has come to the edge of the prostate, radiation may be more appropriate for complete remission). Best to you.
Posted 1/10/2014 4:15 PM (GMT 0)
Thank you all so much for your input and support.
You guys are great!!
rlg
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