I’ve just been diagnosed with prostate cancer and after two days of ignoring it and hoping it would go away, I’ve started looking into everything.
The nurse who told me the diagnosis seemed to only present me with one treatment option (having my prostate removed). She said this was the unanimous decision of a multi-disciplinary meeting. However, the specialist nurse from prostate cancer uk I spoke to today, suggested I should look into other treatment options. This evening I’ve been looking at my biopsy report, my MRI report in combination with the masses of info online. It seems that the three most important pieces of info about the cancer that I need are:
PSA - mine was 5.0 about a month ago, and 6.1 about a week later
Gleason score – mine is 7 (3+3 on the left side, 3+4 on the right side)
T score – I can’t find any mention of this in my biopsy report. Having researched it, I think mine may be T2c. This is based on the cancer being in both sides of the prostate (Right: 15% on the right found in 4/6 samples, Left: 5%, found in 1/6 samples).
The digital examination did not find anything abnormal. The MRI was inconclusive – “diffuse signal changes” presumed at the time to be inflammatory.
The nurse said they don’t think it’s spread. The mri showed- no enlarged lymph nodes, or concerning marrow signal change in the pelvis. And that the seminal vesicles return normal signal.
The biopsy report shows-
No extraprostatic or vascular invasion, but that there is perineural invasion on the right side only. I am wondering if it is this perineural invasion, and it being one both sides that are the main red flags to them.
With those results, is that an early or locally advanced cancer? Since I was presented with only one viable treatment option I assume they have not judged it to be low-risk, or slow-growing.
I am 42, with a significant family history or prostate cancer (father and his 2 brothers all diagnosed and treated in their 60s).
Any info much appreciated (whether through experience or expertise, or both!)
Thanks a lot