It still feels unreal that I have prostate cancer

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Diagnosed 30/9/2024 Gleason 6(3+3). On AS currently. It doesn’t even feel like I have cancer.! Surreal or what! 
My first PSA since diagnosis is on 25/11/2024. My last PSA 13/6/2024 was .6.6. What rise would be a cause for concern?

it doesn’t help when numerous articles online suggest that Gleason 6 may not even be cancer!

  • Hi Andy and welcome 

    Yes, it does all feel a bit weird in diagnosis especially if low stats with no issues.

    Yes I have read many times about Gleeson ,6 not being cancer , I think it is although some are incredibly slow growing so in effect.........

    I was diagnosed in 2013 with a PSa of about 4 which increased to 12 over 4 years and then treatment started.

    So ok as long as u don't get large jumps in PSA , Looking at mine suppose averaged increase of about 2.00 a year.to give some guidance 

    Best wishes 

    Steve 

  •  Hi !

    If your diagnosed with low-risk / low grade prostate cancer and they put you on AS, what is the recommendation from your medical team regarding PSA tests and follow up?

  • Hello Andy ()

    I am a Gleason 9 with an initial PSA of 182 - I didn't think I had cancer until diagnosis - I just felt ill!!

    If your PSA on 25 November has risen I would be having a chat with your team.

    Gleason 6 in the UK is Cancer end of story - you need to stick to trusted sources for your information such as Macmillan, Prostate Cancer UK and Cancer Research and not Dr Google. Here's a link to how Prostate cancer is staged and graded in the UK at present-

    https://www.macmillan.org.uk/cancer-information-and-support/prostate-cancer/staging-and-grading-of-prostate-cancer#:~:text=stage%201%20and%20stage%202,advanced%20(metastatic)%20prostate%20cancer.

    Best wishes - Brian

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