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Dec 2016 PSA before 3t MRI 9.6 from 2.8 in June 2016
MRI found two suspecious areas.
PSA came down to 2.3 Jan 6th
and again to 1.87 Jan 19th 2017
MRI guided biopsy 20 cores with 6 cores from each suspecious area Jan- 31 2017
Gleason 6(3+3) tumor involves <5% of overall specimen (1 of 6 cores) left lobe
Gleason 6(3+3) tumor involves 5% of overall specimen (4 of 4 cores) left apex
Radiologist and surgeon both suggest nerve sparing laproscopic prostatectomy based upon age 57 years and family history (younger brother with gleason 9).
Urologist is of the opinion that I could go with AS.
On one hand waiting may give me a few good years without any potential side effects but age will not be in my favor later.