I'm a mid sixties newbie to PCa and am about to embark on PCa treatment.
But before that let me tell you about my situation. I'm otherwise in
good health.

PSA history:
3/03 2.5
5/04 3.75
6/05 3.3
2/07 4.7
(During which no MD said a word about a further test until 2/07.)

Mar '07 Gleason 3+3 with 9 positive cores (of 13 cores).

Did a lot of reading on line but had difficulty reconciling my 4.7 PSA,
cT2a (or should it be cT2c) and 3+3 Gleason (relatively low risk) with
my high % of positive cores (high risk). Where did I fit?

I want a curative treatment without regard to cost or pain so that in
three or five years I don't look back and say "I should have done..."
but rather that "I did the maximum that could be done at the time."
That's my approach to my PCa.

I'm being treated at a University Cancer Center's busy Urologic Oncology
Department. They told me that the high % of positive cores makes me a
functional T3 and showed me D'Amico's paper on that particular subject
(PubMed ID 15365069).

Am now undergoing 4 months of Lupron and Casodex, during which I'll be
given 25 IMRT fractions (45? Gy)and soon thereafter a (100? Gy)boost
implant. The exact radiation dosages will be determined next month.

Today I had three gold marker seeds implanted into my prostate in
preparation for the IMRT next month. Painless procedure.

After six weeks of hormone therapy I have no complaints so far.

So as a newby, I ask for your thoughts on my PCa treatment plan and
thank you for your consideration.

Survivor