I am posting for my hubby, Tony, who is still trying to get his mind around the Dx. In August of 2016, routine physical blood work found a PSA of 24. With a family history of prostate cancer in his father and grandfather, Tony should have gotten regular PSA tests since the age of 40, but did not.
Our urologist did DRE, found normal prostate, assumed the very high PSA was due to prostatitis. Put him on Cipro for one month. We took a week or two off, then went back. PSA was 28. Went on Bactrim for two weeks. PSA was then 20. Doc did appreciate a hardness on the left side of prostate during second DRE. Overall, this dorking around with prostatitis took three months of valuable time, which has made me angry, especially since I suspected PC from the get-go, but no one would listen to me. Just sayin'. We went to a second urologist who felt the same hardness on DRE, and said run-don't-walk to the biopsy, thank goodness.
He finally had a biopsy the Monday after Thanksgiving, 2016. Biopsy revealed 6 of 12 cores positive, Gleason 3+ 4 =7, 4+3 =7, and 4+4 = 8. All positive in left side of prostate. Right side nearly completely clear, with one area "suspicious." The cores had between 60% and 90% cancer. The Gleason 4+ 3 and 8 cores were 70 to 90% cancer. All 6 samples had perineural invasion, which could be indicative of a cancer that has already spread, or one that is likely to.
He gets an abdominal CT and bone scan on Friday, and will get staged next week. I will keep this updated.
Tony's e-mail address is: firstname.lastname@example.org