30th August 2012 – still no news on second opinion

Its been over two weeks since I saw the urologist and no news on the new appointment.

Can only assume that I am caught up in the holiday period and bank holiday. Maybe I will hear soon.

I have been reading some really interesting articles in the Journal for Oncology with reference to studies done on men with early localised prostate cancer and Gleeson 6, PSA > 10.

Several of these studies have noted that over 70% of men who had this 'low risk' form, when they had RRP and pathology was done on the removed prostate, these individuals had clinically significant disease.

Therefore you can assume that if they had gone on Active Surveillance and no noticeable change was noted in the 3 or 6 month PSA tests, or if an annual biopsy didnt pick up the cell changes, then they could well have lost their 'cure' window. Something that came out in Dr Patrick Walsh's book Surviving Prostate Cancer - where he said it was a mistake not to choose treatment when the first opportunity arrives