Margins?

[Guest guest]

Hello, my husband was recently diagnosed with Pca. He doesn't have any of the

symptoms of pca. He is 63 years old with a PSA of just under 7. It had been a

little over 7 and his DRE's all were clear, but he wanted a biopsy just in case.

The urologist who performed the biopsy did an DRE and found a lump. The

previous DRE's showed nothing including the one two weeks before. I guess there

is a lot of variability in those performing the DREs.

Anyway, the Gleason came back as one 7 as 4+3 and several with 3+4. The doctor

didn't say much for treatments but is sending him in for a CAT and a bone scan

to verify that it has not spread. So, he doesn't have a stage yet. The doctor

was emphatic that he didn't think that it had spread yet. In which case, why did

he say watchful waiting was not a good option?

My question is, my husband doesn't really want surgery. Sex is important to him

and I am 20 years younger than him (so I believe there is a manly thing going on

with that which I totally understand). The doctor mentioned radiation and I have

researched some of the treatments, but am a little confused. Cyberknife is said

to be questionable when there is cancer " in the margins " (if I have this

correct?) Can you have cance that is contained in the prostate, but that is

still not appropriate for some types of radiation? Can you explain about the

margins?

Thank you all for your help.

Lynn