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Cancer Support

JohnSJ

(97,259 posts)

20. Gleason score. It is intermediate. There are two numbers that make up the Gleason score

Reply to captain queeg (Reply #18)

Wed Oct 5, 2022, 05:36 PM

Oct 2022

If you have a 7, it is either 3+4, or 4+3

If it is 3+4, it is favorable intermediate. A 4+3 would be unfavorable intermediate.

The first number represents the dominant pattern in the core, and the second number represents the lesser pattern

In your situation you might want to consider a genetic test on the sample. Some of those tests are Decipher, Prolaris, and Oncotype. Decipher is the test a lot of the comprehensive centers are using

What you are doing is gathering data points to help make an informed decision. You have time to explore your options

Depending on the pattern and volume of the 7, you might even consider Active Surveillance

There are focal therapy options also that you may qualify for also

TULSA Pro(ultrasound), HIFU(ultrasound), FLA(laser) etc

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Question on prostate cancer recurring [View all] Tribetime Oct 2022 OP

I wouldn't get any treatment without a second opinion. onecaliberal Oct 2022 #1

Yes XanaDUer2 Oct 2022 #2

No answer here but I'm watching this thread. Just got referred for radiation yesterday. captain queeg Oct 2022 #3

Yes my radiation went well Tribetime Oct 2022 #5

You might want to consider a Decipher genetic test on the positive biopsy sample to help determine JohnSJ Oct 2022 #8

No the only thing he did was check my bladder Tribetime Oct 2022 #10

Tribetime I was addressing this answer to captain queeg who indicated he hasn't had any treatment JohnSJ Oct 2022 #12

Yeas MRI first then the biopsy captain queeg Oct 2022 #15

Good. You might want to consider a second read on the positive biopsy slides from John Hopkins. JohnSJ Oct 2022 #17

I'm out west. Biopsy was taken at a local hospital, Legacy I think. captain queeg Oct 2022 #19

That isn't a problem. The request can be made by your urologist or the hospital pathology departmen JohnSJ Oct 2022 #22

You know that number they give it to rate it, can't remember what it's called off hand? captain queeg Oct 2022 #18

Gleason score. It is intermediate. There are two numbers that make up the Gleason score JohnSJ Oct 2022 #20

Yes that it. Thanks captain queeg Oct 2022 #21

Yes. You should go to a comprehensive center and request a PSMA to help determine if it is really JohnSJ Oct 2022 #4

Thank you so much Tribetime Oct 2022 #7

Urolift is for an enlarged prostate. Was an MRI done to see if the prostate was enlarged? There JohnSJ Oct 2022 #9

Yeah it doesn't bother me I don't wake up at night I can make it through work it's not a big deal wi Tribetime Oct 2022 #11

Urolift may not make sense. A second opinion is definitely called for JohnSJ Oct 2022 #13

Hell yes al_liberal Oct 2022 #6

Exactly. Also, the new urologist recommending urolift really needs a second opinion. The PSMA JohnSJ Oct 2022 #14

Second opinion Rebl2 Oct 2022 #16

Not sure of your age. TNNurse Oct 2022 #23

I first got it at 54. 62 now Tribetime Oct 2022 #24