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Re: Active Survailance vs radical prostatectomy

Hi Frank,

Thanks for your response. I am reading and researching still, it is indeed a very difficult decision. Here is how I am looking at it so far:

Why Surgery now:

- Becuase I will find out with certinity that I have an aggressive Cancer or not.
- It gives me a chance to be cancer free
- No more biopsies
- I am younger and healthier than I would be in the years to come
- Better chance of avoiding side effects, and risk of growing cancer.

Why Active Survailance (Wait and see)

- I may not ever need intervention (very slow growing)
- I can get treatment when needed
- Keep my quality of life for as long as I can
- Newer technology may become available that could either predict better or keep it dorment

Here is a history of my PSA readings:

DATE Total PSA Free PSA

08/19/2013 2.28
09/02/2014 3.32
06/14/2016 2.87
12/21/2016 9.69
01/072017 2.36
01/19/2017 1.87 0.42

3T MRI done on 01/16/2017 (found suspicious lesions)
Biopsy done on 01/31/2017 (found 3+3)
Waiting for another PSA in 2 weeks.
Surgery currently scheduled for May 4th
Waiting for Genetic test results on biopsy sample to see if cancer is aggressive or not.

Best wishes

Thanks & Regards
Jim

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