Thursday, July 30, 2015

... and the answer is....


Yeppers.....it's positive, prostate cancer, Prostatic adenocarcinoma.  However, it appears to be early.  There are several "ratings" of the veracity of my cancer and so here they are:

Gleason grade: 6 (3+3)  That puts me at the "low risk" side of the scale.
TNM staging system: B1
Prostate Cancer Stage Groupings: T2, N0 M0, G2
Stage: II

Options:
Watchful Waiting- Monitored with periodic (3 mos) PSA & DRE, X-rays
Active Surveillance-Periodic PSA, DRE's but definitive therapy is instituted when pre-defined changes occur.
Surgery- Radical Prostatectomy (3 methods of same surgery: Retropubic, perineal or laparoscopic)
Brachytherapy (Interstitial seed placement) - percutaneous placement of radioactive seeds in the prostate
Cryotherapy- Liquid nitrogen or argon gas administered through probes in prostate
HIFU- High intensity focused ultrasound
Radiation therapy - usually used as a palliative treatment for pain caused by bone metastases.

The only "real" options to consider right now however are watchful waiting, active surveillance, surgery, or radiation.

And I have to make this decision.  We all know how good I am at making bad decisions!!!!
So those are the facts folks.



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