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Pastimes : Heart Attacks, Cancer and strokes. Preventative approaches
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Stock Puppy
To: i-node who wrote (32788)1/18/2018 4:06:51 PM
From: i-node1 Recommendation  Read Replies (2) of 39304
 
A follow up on this earlier conversation.

I ended up having the biopsy, and was diagnosed with cancer found in 3 out of 12 cores. But they were all Gleasons 6. Uro recommended surgery as did my PCP. At that point I did what you recommended I do earlier, and found a Urologic Oncology expert and went to him.

He said, "Wait a minute. We're not talking surgery yet." So, he says he's sending my biopsy tissue to a genomics lab which will be able to determine the aggressiveness of the cancer, i.e., the probability of dying of it within ten years. In addition, he ordered the high-resolution MRI so he can see whether there is any likelihood of the cancer getting outside the prostate. This doctor knows what he's doing. Really impressive.

Interestingly, my PSA had dropped to about 2.8 from the previous 5.0. But in the meantime, I started taking a statin, and apparently statins will cause an artificial drop in the PSA, but doesn't decrease cancer risk or risk of spreading after surgery.

Seems to me that anyone on a statin or Metformin ought to be wary of relying on PSA as a guide at all.

Anyway, for now, I'm waiting another month until this labwork & imaging comes back to decide whether surgery is necessary. Another reprieve....

Thanks for your previous suggestions. In the end, it pushed me toward making my own decision instead of following the Urologist's referral to the high-volume operator here and I have great confidence in this doctor.

ncbi.nlm.nih.gov
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