For the previous 12 years that I had been tracking my PSA, it rose from 1.3 to 4.0. At that point I had a biopsy that showed a Gleason 6(3+3). I chose active surveillance.

Over 9 years, I had 3 more biopsies, the first 2 were 3+3, the last one was 3+4. Over that same time I had PSA tests every 4-6 months; my PSA increased from 4,0 to 8.0.

Also, a Prolaris biomarker test indicated that I had “exceeded the threshold for active surveillance.”

It was then that I decided on active treatment (proton radiation).