Originally Posted by
ApachePhil
PSA is 4.0-4.5 in 3 most recent tests.
Gleason score was 3+4=7 in 1 of 18 cores. Less than or equal to 5% pattern 4. GG2.
This is worth reading if you haven’t already:
https://www.cancer.org/treatment/und...pathology.html
Grade group 2 is generally favorable. Not MOST favorable, but generally favorable.
The conventional wisdom is you are a Stage 1 until proven otherwise. Have any imaging studies (CT, MRI, or bone scan) been suggested by your oncologist? Are other blood studies normal? If so you would sort of fall into the group where active surveillance is a reasonable option but if you aren’t the sort who does well emotionally (and a lot of pilots aren’t) more definitive treatment (ie, radical prostatectomy or radiotherapy) is not an unreasonable option.
And while I don’t mind being a sounding board, what you REALLY need is to find a good clinic that does urological oncology and get a second opinion from THEM.
Second opinions on serious medical issues are never a bad idea, and generally going to a place - like a teaching hospital - with a good reputation for specializing in that area is a better bet than asking anonymous pilots on APC., present company included.
Good luck and get copies of everything for the FAA medical guys.