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Friend has prostate cancer. 50. (1 Viewer)

Daywalker

Footballguy
His PSA was 4.2 five years ago.

He just turned 50 and got the workup again.  His PSA was 5.3.  Which led them to do a prostate exam then biopisy I assume.

12 cones taken out.  Three were Gleason 6.  One was Gleason 7.  The other eight fine.

He didn't know if the doctor said he was overall a Gleason 3+3, 3+4 or 4+3.  

His doctor said surgery right off the bat.  Said he was just delaying the inevitable.  After getting my MD on the internet today I found that rather odd.  Delaying surgery is not a waste of time.  Could be years have having a fully functioning rod as well as putting off urinary incontinence issues.  I was thinking at least start watching it at whatever interval you are comfortable with.  Every 3-6 months?  A year?

Obviously their are risks but I was just surprised the doctor jumped to surgery so quickly.

I was wondering if anyone out there has any advice on that.  Especially as to whether his relatively young age is a benefit for playing the wait game.  Does getting it at a young age mean it's more likely to be an aggressive form?  Or is his youth an advantage in playing the waiting game.

Does everyone go through all the Gleason stages 6-10?  Or can the cancer be Gleason 8 right off the bat?  I ask because I've read stuff suggesting maybe that prostate cancer acts the way it is born.  So if you are diagnosed a 6, playing the odds, you may have a less aggressive tumor.

 
My dad (66) has been watching his prostate cancer for a couple years now. He just took some sort of genetic test which can tell how agressive the cancer is and how likely it is he would ever need surgery. Luckily for him it came back with a very low probability. Something to maybe check into for your friend. Hope everything turns out the very best for him.

 
Sad to hear about your GB. Very cool that you’re helping him think through this. You’re an awesome friend and I’m sure he’s grateful. 

 
Many, but not all, urologists are focused on what makes the most $ for them. I'd get a second opinion. Good luck!

 

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