It can also depend on who you're asking. Surgeons tend to favour surgery etc.
When I was diagnosed it was by a Urologist who didn't do prostate cancer operations. He seemed a bit vague about the location of my lesion saying it was near the edge but there are areas of the prostate they couldn't see easily so recommended a template biopsy if I had AS. It was classed as T2a possibly T3, but was later T2a.
When I chose surgery and met the surgeon he was very matter of fact saying it was 13mm and located in the apex drawing a diagram and showing what he'd do. I don't know why the urologist didn't do that.
Also as Johntheprint says above brachytherapy is something to be looked at. I didn't have any choice in my opinion with a 4+3 close to the edge. I was always worried about stray cells.
I'm also interested in what Lyn said about it not becoming more aggressive as mine was fully diagnosed in the lab and came out 4+4, so the single pin on the biopsy was wrong no surprise. I've always thought it would develop to 5+5 if left. I'd also like to know if mets are the same grade as the core lesion if they don't develop. Can you have a 3+3 met etc.
As a final point you said you worried about not differentiating between met bone pain and your other pains. We all have that problem. I got a massive hip pain during diagnosis and was convinced it had spread. It improved but still niggles, arthritus they say. They also said everyone thinks every pain is related so it's psychological to a degree. Also as far as I know, and someone may correct me, mets only get painful when they're well hold and you'd be a T4.
Edited by member 26 Jan 2020 at 13:15
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