Active Surveillance vs Treatment Now
I'm 55 and my PSA in 2020 was 3.8, 2021 was 3.3, and 2022 jumped to 4.5. Got a biopsy and on this past Thursday learned I have prostate cancer Gleason 6. Most cores were Benign Prostatic Tissue.
6. Left Apex: Adenocarcinoma, Gleason 3+3=6 involving 1 core. Core involvement <5% (<0.5mm).
8. Right Mid: High Grade Prostatic Intraepithelial Neoplasia (PIN).
11. Right Lateral Mid: Focus of Atypical Glands, Suspicious for Low Grade Carcinoma.
The Urologist recommends active surveillance. I'm due back in 6 months for 3 appointments for PSA test, biopsy and MRI.
Does this sound right? Shouldn't we attack this cancer before it becomes aggressive? I'm not a fan of surgery based on the side effects, and I like what I'm reading about Proton Therapy. I highly doubt my private insurance would cover it though so I might be looking at radiation if I need to take action.
What's your point of view on active surveilance vs treatment now based on this?