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Any assistance? 58 yr old guy very active sports minded HAd some sx got DRE- abnl .Nodule.  PSa 0.23  but  bx becasue of nodule Bx shows adena ca prostate most samples are eleason 6 ONE is a 7  so recommended to have prostectectmy

   I send him for second opinion  doc sends out slides--same slides  no re-  bx-- to diff lab . specimens all Gleason 6 which implies active surveillance is ok what tthe  heck to do? Surgery could--> ED and incontinence at young age  he is pretty worried but

 if no surgery   can we believe the gleason 6's and wait and watch?thanks--      MD          ph    fax

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