What is the best way to get the correct answers to questions when you have newly diagnosed prostate cancer?
Question: I am a 59-year-old white male who had a PSA that was 6.5, up from 3.0 a year ago. My digital rectal examination was abnormal. The urologist felt a nodule on the right side of my prostate. Three out of 10 cores showed a Gleason 3 + 3 = 6 adenocarcinoma with perineural (surrounding a nerve) involvement. What should I do next? Answer: You have probably heard the recommendations of your urologist. I would get an opinion from a radiation oncologist and a medical oncologist so that you are aware of all the treatments available and how they will affect your quality of life. Unfortunately, there are no mature randomized controlled trials to dictate one treatment over another.
