Selecting Active Survelliance based on GG1 and small GG2 in biopsy?
67 years old, PSA of 7.8 and MPMRI with three PI RADS lesions…one 3, one 4 and one 5. Fusion biopsy of 15 areas indicate 5 Gleason 3+3=6 samples (5-10% of specimen with cancer) and 2 Gleason 3+4=7 samples (with 10-20% of pattern 4 cancer) of the 15 areas sampled. My Urologist (a robotic prostate surgeon) indicates I could choose surgery, radiation or active surveillance (AS) and recommends against surgery, due to my active lifestyle. I routinely run 5K races, at a 9 minute pace, which I did 1 week AFTER my biopsy. I’m considering AS and asking if anyone has had a similar initial biopsy report and can relate their decision, experience and any follow up issues and their routine of the following 12 months..