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Impending surgery

Ok this is the story. Diagnosed in Jan. after annual physical showed psa 28.1. 58 years old first psa, not sure why I just never asked and DR never requested. Biopsy first of Feb 5/14 cores all 3+3=6 all bottom left side. % of cores, 100,98,95,90,35. Psma pet end of feb. No metastases, DR wants to do sergery and remove asap, set on schedule.for 4/11 at a center of excellence in mineapolis.Had second opinion at Mayo Rochester. DR said he would advise AS, and do another psa in July. No need to hurry with Gleason 6, you have slow moving cancer. I have decided to go forward with sergury as I just want it out and not take any chances. I must admit to confusion between the two. Thanks for listening.

  1. We all make our own decisions on the next steps. I will say when one hears the word cancer, the common knee-jerk reaction of many is to want to get rid of it now. Personally, had I been facing a G6, I would not have jumped into treatment.

    Any of the treatments will have some long-term impacts sexually, physically, and emotionally both for you and those in your life. In my book, avoiding issues for as long as it makes sense would be nice. Dennis(Patient Leader)

    1. Hi . First, let me start by saying that I can't personally speak to this issue. Second, as prostate cancer treatments and monitoring have improved quite a bit in recent years, active surveillance has increased as an option. That said, each person has to make the decision best for them. I want to share with you this article from our patient leader Jim-Bob Williams on his experience and takeaways on AS: https://prostatecancer.net/living/active-surveillance-takeaways. I also want to share this article Dennis wrote on AS as an option: https://prostatecancer.net/living/active-surveillance-opinion. Hopefully others will chime in with their experience and thoughts. Please feel free, if you like, to keep us posted on your decision and to ask further questions. Best, Richard (Team Member)

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