Funny this came up as I just had a follow up. For reference, I'm 55.
Feb 23 - PSA was 4.1
Oct 23 - PSA was 4.4
Dec 23 - biopsy - results Gleason 6 for 7 of 12 samples. Meaning very low grade cancer (some docs don't consider it cancer) but higher volume. Doc was all about surgery but wanted to do testing.
Sent samples out for genetic testing - results indicate very low (0.25%) chance of metastatic cancer if treated. From this and per doc. I can either do radiation, operation, or watch-n-see. I'm doing watch-n-see, retest PSA in 6 months.
I'm still going to explore treatment options but don't need to do anything quickly. Doc is a cutter so that's what he wants to do. I don't like the side effects - incontinence and ED. Radiation seems better with lesser side effects but I went thru a lot of rad/chemo 10 yrs ago so that may not be an option.
Anyway, all that to say there's typically time to digest what's going on and get 2nd, 3rd, etc opinions especially with low scores.
