Just logged in and found your post most interesting and indeed very timely.
I need to advise my 69 year old brother. Do please also see my profile. I have just spoken with my brother over weekend, he is Gleason 7 (4 + 3). PSA 3.57.
1 single tumour identified 2 cm long Right Apex. (He lives in Australia, by the way). He will scan the full details later of his very recent first and only biopsy to me and I can then upload, as may help others. Although in a nut shell, I need to advise him, yet not influence him (If you understand) as he's 50/50 re. RP, ie Surgery or RT. He is fully briefed and Oz medical system has provided him with all the info he needs. No rush as he will make final decision Jan /Feb, he sees his GP early Dec.
We (wife + I ) opted for RP, mainly because when all things considered, it came down to 1 major reason, the fact post op, I should have at or near zero PSA and could have the option of RT (and not vice versa).
May I ask what was your reason for RT ? Was it an easy decision ?
Incidentally, I was not offered Brachy, in fact didn't know much about it. I think this is only offered to Gleason 6 (as a norm), although maybe Gleason 7 if unifocal (I had more than 1 tumour location), I've asked my brother to explore this (as seems as if success rates as good and side effects far less)
Would it be possible to 'cut / paste' your actual post into your profile, as you often find on the forum, posts soon get 'redundant' and your story is then less easy to find, it sums things up quite succinctly in many ways. ie 'luck' or not, re. how PCa is first discovered, as reading many posts on here, I feel it's not all about blokes afraid of visiting GP (that could actually be an urban myth); it's the fact there are no symptoms, and more worrying, reading some posts, some GP's seemed to have glossed over symptoms and not actively given PSA test at all to fellows visiting their GP's with concerns. Obviously I may see a skewed, distorted view. My GP was neutral re. PSA tests , ie I had to push it in the early years. I was effectively on self administered AS myself (see my profile), and didn't realise it at the time as I asked for the tests when I remembered and looked at the changes. I had a long discussion this year with my brother as his PSA was between 2 or 4 over the last 10 years (ie often lower than expected for the 'std' age). His PSA pre biospy was 3.57. So unlike myself his PSA was not a good indicator at all. Thankfully he took everything on board and had a biospy the other month on his return to Oz (he was in UK with us over the summer)
I will update my profile with my brothers results once I have them in detail. He had a 3T Multiparametric MRI in Dec 2015 and PI-RADS rating of 4 with lesion size 1.5cm. Tza I never had this level of detail from my scan on NHS.
Edited by member 21 Nov 2016 at 00:29
| Reason: Not specified