New Diagnosis Early Stahes

your PSA is very low Dene, what prompted them to look for PC, 

I was on AS for 4 years with monitoring , it went well but then so did the RT, in 2017.

Probably the most important thing if considering AS is look at MRi report , ie  tumour size and location of tumour within the gland.

any further questions, please ask

Steve

Hi Steve

Had PSA test in Oct 22 and it was amber warning at 3.7 was advised to go to GP. Had 2nd PSA in Jan 23 with GP and was 3.6 then referred to hospital for MRI and ultimately the biopsy (which wasn’t pleasant). 

Major worry is will it spread and am I better getting rid of it now while I’m relatively young and the PC is very small. AS is an option and would be good but the overriding worry with that is could it spread and I’m putting off the inevitable. 

So many questions. 

Thanks. 

So PSA gone down albeit by a small amount.

I think u could comfortably go on AS at least for a time and see how it goes, they will monitor it.

But if u are concerned, understandably, then opt for one of the treatments but do a bit of research noting potential side effects for both main treatments.

In the meantime worth checking on what the MRI says, also see what others say

Steve 

Hi

Thanks, don’t think there is a rush on needing a treatment bit what’s a good MRI and what’s a bad. 

MRI report which u can ask for, describing a tumour size of 10mm or less, sometimes there can be 2 tumours.

Not an indication that tumour is near the capsule edge.

That's it. Worth knowing plus for your records

Steve 

Hi Dene. I was diagnosed with early stage pc when I was 54. I have been on active surveillance for 6 years.

If you choose active surveillance, you might be able to wait for new treatments to become available in the future.

Hi Dene,

Do you know about Brachytherapy?  My stats are very similar to yours - Gleason 7 (3+4) T2 when diagnosed in July 2022.

Research with Prostate Cancer UK led me to the alternative to 20 sessions of EBR which places radioactive seeds directly into the prostate.  One 1 hour treatment plus follow up CT scan and PSA tests.  80% of mens are still cancer clear after 10 years.

I had my Brachytherapy 3 weeks ago today and apart from some initial bruising and bit of fatigue I'm feeling OK.  Back to exercise and snooker!  Worth checking to see if you are OK to have it.

Chris

https://evidence.nejm.org/doi/10.1056/EVIDoa2300018

hopefully  this  will give you some extra information and assurance  

Chris

What are the side effects of Brachytherapy?

thanks. 

Dene do you know the results of your biopsy, this is important if considering AS, speaking as a person on AS. How many samples did they take, how many were positive for cancer and what levels, as an example from my biopsy I had 21 samples and only 1mm of 1 sample showed cancer, so with this very low lovely I opted for AS and have just had a second MRI one year on and all is still good son staying  on AS.