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In November my father was diagnosed with prostate cancer following a TURP surgery.
His Gleason score was 7 (4+3) and today, we were advised by the doctor that his PSA is LESS than 1.
The doctor is completely against the idea of a radical prostatectomy and is recommending active surveillance. So my dad would have to get his PSA done every 6 months.
I'm not quite sure how I feel about this, since based on what I've read, my father has a Gleason score of 7, which is based on a 4+3 and NOT a 3+4 (these two scores are VERY different) and a 4+3 is more aggressive and likely to spread.
When I asked the doctor about this Gleason score and the PSA results, he said that if my dad was younger (say, 40's or 50's), he'd recommend my father having his prostate out immediately - no questions asked.
In one way, my father was relieved because he trusts this doctor's advice and although initially he wanted the cancer removed, is happy that he doesn't have to go through surgery/a prostatectomy.
On the other hand, he doesn't like that he has to live with the cancer.
The thing is, if the Gleason score was lower 6 or under, I wouldn't be wondering or worrying so much about this doctor's advice. But something just doesn't sit right with me under the circumstances.
Has anyone had a similar Gleason score, PSA test results and then had the doctor recommend active surveillance?
This is also a frustrating situation for me, because I feel like I'm the only one researching and reading since my father's diagnosis. And my dad has not done ANY research. And if by chance I find something even a little negative, he doesn't want to hear it and buries his head in the sand. It's like he wants to know, but at the same time doesn't.
My dad is relieved and happy with the doctor's appointment today (he was expecting his PSA test results to be through the roof, and was going into the doctor's with this mindset that his life was over - it's been a tough 1.5 months since the prostate cancer diagnosis! For him and us, as his family).
But I do think he should get a second opinion.
Anyone find themselves in a similar scenario?
Thanks in advance.
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