I am 72 , with early stage Prostate Cancer. Gleason 6, 2.5 psa with one cancer detected in 12 biopsies of 10% located in lower area of prostate near apex. Knowing that most migration of cancer cells occur at the apex should I take the \"watch and wait approach or do Breachytherapy  and be done with the problem? Or should I do DNA testing to determine aggressiveness before deciding?Thank you.
HIT hank for asking to ChatDoctorFirst thing is to confirm the final diagnosis and the stage of the disease, after this the best way is resection if possible, if surgical intervention is not possible then chemotherapy would be best, try avoiding Radiotherapy, looking to your age, you may not be able to tolerate this again, looking to your age and the early detection of disease the prognosis would be great, take care have good days.