I had the whipple surgery, chemo and radiation for Ampulary cancer starting in the Summer of '05. Still in remission. In early October had PSA of 3.1 (previous 12 months it was 1.9), Gleason was 7(3/4) and the DRE indicated a T3a.

My Urologist is concerned about the Ampulary cancer situation so is debating whether to go with surgery in January. I had the Lupron injection in early November. 

My doctor is very considerate and I understand his concern about the best path forward for me. Once I left his office, I realized that I should have asked him if radiation rather that surgery should be investigated? What type of radiation? I do plan to contact his office to request more information.What is the best approach for me at this point?