I've just been diagnosed with prostate cancer.
Biopsy report shows Gleason score 8 in 2 ( 2 of 5) of the 21 scores submitted, 6 in 6 of the cores.
Calculated volume of prostate is 40ml.
No perineurial invasion or extraprostatic extension.
ISUP 2014 prognostic grade group 4
Tumour replaces 80% of the most involved core.
PSA 5.4 up from 4 last Sept.
My urologist gave me the diagnosis by phone. he said the choice was between surgery and radiation treatment. I asked his opinion and he said that although he is a surgeon in my case he wouldn't recommend surgery and has referred me to a radiation specialist.
Has anyone a view on why he would not recommend surgery?
also, the biopsy report hasn't stated the stage off my cancer - does anyone know is this normal.
I am very concerned that with Gleason 8 I am not pursing the right option and also concerned about the pace at which this can develop.