I am a 75 year old male, in very good shape for my age. I have never had major health problems. My urologist has taken my PSA regularly and I have been on Proscar for several years. I had two biopsies taken previously, when PSA increases were indicated, but both were negative. So, last week after my PSA jumped from 3.3 to 4.12, my urologist scheduled me in for biopsies again - this time a positive report came back - to my dismay.
Of 12 biopsies taken, only one positive biopsy was noted: "Adenocarcinoma (Gleason Score 3 + 3 = 6) involving 1% of the specimen (1 of 2 cores contain cancer). Cancer length 0.03 cm." My urologist initially told me this was like 1% of 1% of the biopsies taken. He indicated 'watch and wait" was not an option for me at my age. However, before suggesting a specific procedure for me, he scheduled pelvis and bone scan checks to determine if the PC was spread outside the prostate. At this point he also gave me a Lupron shot to slow down the PC in the interim.
The results of the scans came back "negative". My PC is Stage 1 and confined to the prostate. His recommendation is to proceed with external radiation (IMRT), which I am in the process of setting up now. It is going to be 5 days per week for 5 weeks. I am not certain that any more Lupron will be given me - probably not. He indicated the shot I was given will "soften" up the PC and aid the radiation treatment.
He told me probably with this line of treatment, I could "lick" this and probably expect to live 15 to 20 years, barring other ailments, which of course can happen to a 75 year old man. (I am on thyroid, blood pressure, choloresterol, and arthritis medications, all which are maintaining good control of the specific ailments). I am pretty active - go to the gym three time per week, do all my own yard work, my own house cleaning, etc.
Since there are so many different people in so many stages of PC in here, it's hard to identify with other specific individuals as relates to my own case. I know it's a personal decision which has to be made but sometimes sharing other's decisions and experience helps ease some of the anxiety. Just would like to hear any advice which other guys with similar experiences have to offer. Thanks for listening - and for your comments!