Newly diagnosed with prostate cancer

Was Diagnosed with prostate cancer on 29/01/2026 after Multiparametric MRI followed by Transperenial Biopsy and was put on Active Surveillance, I am 3 months shy of my 65'th birthday. My Gleason score is 3+4=7  proatate adenocarcinoma, 40% pattern 4, PSA 7.4 ng/ml ( now 9.2 ), prostate volume 45cc, T2 NO MO. My PSA level when first diagnosed in November 2025 for Bowel issues and was found to have Hypertension a short time after was 6.8 and has gone up to 9.2 on 10/02/2026. Is Active Surveillance the right choice as this rise in PSA over such a short period of time may suggest a more aggresive cancer. Was very disappointed with the Oncologist Surgeon I talked to on my telephone accessment with the Hospital as he seemed reluctant to talk about other treatments besides Active Surveillance. Any advice would be very welcome.

  • Hello Cancersucks1961

    I'm sorry to hear that you were diagnosed with prostate cancer a few weeks ago. It's understandable that you may have concerns and questions about your diagnosis and that the specialist has recommended active surveillance for the prostate cancer.

    Following a cancer diagnosis, there is often a lot of information to take in, and it can feel overwhelming at times. It's not uncommon to wonder if the treatment that has been recommended is the right path for you. Don't be afraid to contact your specialist cancer nurse to talk through your concerns. If you feel that you want to pursue a second opinion, you can always consider that option as well. 

    If it would help to talk things through with one of our nurses before contacting your specialist again, then you're most welcome to give them a call. I know they will be happy to listen and offer any advice, informarion and support they can. They're available Monday to Friday 9am to 5pm on 0808 800 4040. 

    I do hope that you can get some reassurance from the health professionals involved in your care and that together you can decide on the best way forward to monitor or treat things. 

    Best wishes, 
    Jenn
    Cancer Chat moderator