Hi Ian.
Welcome to the forum mate. There seems to be disproportionate number of Ians here. Even my name contains Ian. 🙂
Just as a matter of interest, do you know how many cores were taken in your biopsy and how many of those were Gleason 6(3+3). Did they tell you if you had one or more tumours and where about on the prostate they were? What is your PSA?
I initially had a similar diagnosis to yours, and selected AS.
At that time I was as cool as a cucumber. My dad and younger brother had the disease, and I'd had prostate problems for years, I expected it. I was told that I was lucky, and that a lot of consultants didn't even count Gleason 6 as cancer. AS was a doddle and for 18 months my PSA levels remained relatively stable fluctuating between 5.6 and 6.
It was only when they eventually remembered that I was due a follow up MRI, which resulted in a second biopsy revealing disease progression, that the 'cool cucumber' started pooping itself. 😁
Gleason 8 (4+4) in 20 out of 24 cores, (later upgraded to Gleason 9 (4+5) ) with capsular breach T3a.
Although AS failed for me, I'm still a great fan of it. Apparently only 30% of those on it, require later radical treatment.
I wish you luck and hope that you're in the 70%. My only advice would be ensure that your active surveillance is active, and that you are monitored correctly.
Getting back your original question, I suppose in general people react differently to potentially bad news. In our case, I would think age plays a big part. It must be easier to deal with a cancer diagnosis when you're in mid sixties, than when your 40 or 50 with younger families?
Edited by member 08 Aug 2024 at 14:54
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