RO recommends surgery/bone scan ok! Interesting visit

You may want to still seek out the opinion a medical oncologist to weigh the viability of surgery versus hormonal therapy or proactive surveillance.

It depends on how prevalent that 4 in the Gleason 7 is whether the latter is even an option, and also what his prior PSA readings were, how big a jump it was to get to PSA = 4.2.

I can't recall form the prior thread but typically you would want to re-measure the PSA to make sure this was not due to an anomaly, such as sex within prior 72 hours, bike ride, infection etc. Each man has his own baseline and the change in PSA is as important as the value itself.

Given the Crohn's, it sounds like radiation is off the table and your decisions is surgery, proactive surveillance or Hormonal therapy.

Good luck. With those relatively low Gleason scores, and age 55, chances are whatever remedy you choose will work, so a case of several good options rather than having to choose the least bad of all bad ones.

LupronJim

It sounds like you are starting to narrow down your choices and you aren't being forced onto the less-desiraable ones. I know it's confusing but it is progress, too.

Hang in there. You are doing a good job with your homework

Good luck in your upcoming decision department.

I second the thought, of getting an independent opinion from a good medical oncologist, one with extensive experience with PC.

With either surgery or some form of RT, he should do well.

Keep us posted.

David