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I am also 68 , have Gleason 3+3 /6
PSA that is now 16 , 8/12 cores positive , went to Mayo post biopsy appointment and the Urologist young assistant was who went over results and she was in favor of active surveillance then surgeon came in and said historically this would have been surgically treated however younger Dr would surveil so he agree to monitor PSA for 3 months while I went to Florida for the winter and retest in April. Have you checked out proton guided radiation or other treatments ? Left that appointment more confused so will have to findmore info . I’m going to UFlorida proton guided radiation center in Jacksonville for a tour and will reach out to Mayo about Decipher test and others which weren’t offered .
Still trying to find a process in choosing the best treatment . Any thoughts ?
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Hi packman7 - Not much to add to my comments to douglasmayo other than agreeing that a Decipher test would probably be a good idea and may sway your treatment decision. I have not yet checked into proton guided radiation and am probably not a good candidate for focal therapy with my cancer not being localized and in one place. Your 8 of 12 positive cores and 16 psa certainly confirms that you have cancer but before deciding on a definite treatment you might want to attempt to find out about the genomic makeup of that cancer with Decipher or one of the similar tests. Bottom line is that everyone is different and everyone needs to become comfortable with his own treatment decision. I’m probably leaning towards surgery given my very high risk decipher result and strong family history and notwithstanding low risk clinical markers but I just want the best chance of avoiding recurrence.
Best of luck in your journey.