Originally Posted by: Online Community MemberPSA has bounced around over the year and last one was 2.8, but I had another MRI and repeat biopsy anyway as it was a year from initial diagnosis. MRI showed increase in volume to 0.5 (again I’m assuming this is cc) and biopsy results this week were : targeted biopsy this time to lesion on left lobe, 4 out of six positive, volume up to 50%, still Gleason 6. Nothing on right lobe. Consultant said I was ok to continue AS, with another psa in 3 months, Mri and then I can decide next steps.
Hi Colin,
There are some interesting replies. I was surprised so many pins detected something with a 0.5cc volume tumour. Mine was measured in size, 13mm, which is a lot more than 0.5cc and they only found it on one pin, untargetted though. Prostates are often measured in c.c. Mine was 37cc from memory. Mine was also in the left apex which seemed positive as it's away from the bladder join.
I'd have thought a low grade small tumour would be good for brachytherapy and has more options than one allowed to grow. I was twice warned about over treatment being a risk even though mine was near the edge and higher grade.
Yours seems a case where you could hang on with regular testing and spend some time deciding what's best. I'm older than you but I've absolutely no regrets about having the op and am living more or less normally. Treated early at the low risk state there's a very high chance of living as if nothing happened except sexually. Most of the worry is about it coming back and with a low grade, small tumour near the apex, away from the edge that's a much lower probability.
Edited by member 07 Apr 2019 at 23:59
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