Your prostate biopsy pathology report is the key to understanding your particular case of prostate cancer. It is far more important than PSA, stage, bone scans or anything else. The information in the pathology report tells doctors how fast your cancer is growing, how extensive it is within the prostate, and the likelihood of capsule penetration (leakage of cancer cells outside the prostate). The pathology report is the cornerstone to tailoring treatment to the extent and aggressiveness of your prostate cancer, as well as to the calculation of your 10-year ICR.

No. A lot of people think this, but this is not correct. Prostate cancer can spread to other parts of the body; thus, prostate cancer cells any place in a man’s body produce PSA whether they are located in bone, lung, prostate, lymph nodes or any other area. A prostate cancer cell in a man’s left shoulder makes the same amount of PSA as one in his prostate. Thus, a PSA test checks for prostate cancer throughout a man’s body, but PSA gives no information about where the cancer cells are located.

The amount of PSA is generally related to prostate size and the prostate typically enlarges as men age. Overall, a PSA level of up to 4.0 ng/ml is considered normal for men older than 60, and 2.5 ng/ml is the upper normal range for men age 60 or younger. These are rough guidelines because some younger men will have enlarged prostates and some older men will have normal-sized glands. Furthermore, prostate cancer can occur with PSA less than 2.5 ng/ml.

You do not have to be a doctor to understand prostate cancer and learn about cures; it’s easy. Here are things you should do.

a)When speaking to your urologist or radiation oncologist, ALWAYS ask these four key questions:


1. How many men with prostate cancer have you personally treated?
2. Do you have a computerized database of all the men you have treated?
3. How many of these men have PSA 0.2 ng/ml 10 years after treatment?
4. If you were to treat my particular case of prostate cancer, what is my 10-year Individual Cure Rate?


(b) Get a second opinion from both urologists and radiation oncologists.
(c) Perform an Internet search for “prostate cancer” and “prostate cancer treatment” on Google, Yahoo or other search engines.
(d) Speak with friends and neighbors who have been treated for prostate cancer.
(e) Read medical research papers from peer-reviewed medical journals.

“What is my chance for cure?” is the first question a man will ask when just diagnosed with prostate cancer. Because this is the reason for treatment, cure of prostate cancer is the focus of this pamphlet.

When diagnosed with prostate cancer, men fall into two categories relative to making decisions about their disease. Some men do not want to learn about prostate cancer and just leave all treatment decision-making to their doctors. The other group of men want to educate themselves about their disease and be a part of the decision-making process – they realize they likely have only one chance to be cured. But, men often find that learning about prostate cancer can be difficult and confusing.

However, prostate cancer is not difficult to understand. This pamphlet is written for men (and their wives) who want to know about their disease and want to have a major role in the treatment decision about their cancer. Using a question and answer format, as if a man and his wife are talking to a doctor, this pamphlet will empower men with an understanding of prostate cancer and teach them a decision-making process for
selecting the best treatment based on cure.

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