gleason score 9
Comments
-
Historygreenteaguy said:Posted
Please keep us posted Gerorge and best wishes.
Thanks,
I document my story here.
https://csn.cancer.org/node/318066
I am an unusual case insofar as I had a high PSA but a very localised cancer.
One of the things that I am considering is having the tumour examined genetically.
This assumes that they have retained some material!
Best wishes,
Georges0 -
Insightfullighterwood67 said:Well
Georges and Max,
All I can say is. There is more to us than just us. Look around. Ok, back to the task at hand.
Yes, lighter, back to our allowed task. Otherwise, like a few other posts that USED to be included above, it will be lost, like CSNs three months' worth of data recently.
max
0 -
Explanation
Hi there,
I just offered it as an explanation for why I do not pray for other board members and why I do not want to be prayed for either.
Fifteenth Firmagon injection today if one counts the first double injection as a single treatment, only four left if I decide to stop in September, I have options to continue for two or three years!
Blood pressure 146/87 which is normal for me at this time in the morning on this stuff, it will fall during the day.
I have premedicated myself with a couple of ibuprofen to help cut down the local pain.
Best wishes,
Georges0 -
Hi
In March 2022 had a fusion biopsy with gleason (5+4) grade 5. Have an appointment in a few days. What can i expect? Should they order a PET scan? Seems like it is a coin toss on surgery vs radiation as primary decision with some hormone therapy perhaps. FYI I am 54yo and healthy. What are the chances the cancer has metastasized?
Looking for a few experiences or educated opinions.
Thanks Jerry
0 -
Hi Jerry,
Welcome to the board.
My suggestion is that you try learning as much as you can on the matters related to diagnosis and treatments before making any decision. Though Gleason score 9 is high in risks and should be treated, prostate cancer does not spread overnight. Typically one takes two to three months to research, consult, get second opinions and finally decide.
After a positive diagnosis, the next step is to check about any spread. This is done via a series of scans that traditionally include a bone scan and a MRI. CT is also helpful but it often misses small sizes tumors. Recently some doctors request also a PET scan. The purpose is to rule out metastases, certifying that the case is contained. The urologist will then provide you his opinion on the clinical stage. Contained cases (T1, T2) are typically recommended for surgery. T3 with any N may have higher points in radiation and T4 cases will be dependent on the location of the metastases. Some would be recommended for palliative therapies.
I recommend you to prepare a list of questions for your next meeting. Here is a link to help you;
www.urologyhealth.org/documents/Product-Stor
All treatments for PCa have risks and attached side effects that will prejudice our quality of life. Try involving your family in your decisions.
Best wishes and luck in this journey.
VGama
0 -
If you post the biopsy report in its entirety, we could offer some insights. But as Vasco already wrote, prepare all the questions you can think of and hope for a good consult with your urologist.
When I got the (bad) news (Gleason=9) my urologist spent an hour with me (and my spouse) to explain what it meant and what my options were.
Do bring another person with you for taking notes etc. The diagnosis and interview can be overwhelming; it was for me... At that point I barely knew where my prostate was😀
0
Discussion Boards
- All Discussion Boards
- 6 CSN Information
- 6 Welcome to CSN
- 121.9K Cancer specific
- 2.8K Anal Cancer
- 446 Bladder Cancer
- 309 Bone Cancers
- 1.6K Brain Cancer
- 28.5K Breast Cancer
- 397 Childhood Cancers
- 27.9K Colorectal Cancer
- 4.6K Esophageal Cancer
- 1.2K Gynecological Cancers (other than ovarian and uterine)
- 13K Head and Neck Cancer
- 6.4K Kidney Cancer
- 671 Leukemia
- 793 Liver Cancer
- 4.1K Lung Cancer
- 5.1K Lymphoma (Hodgkin and Non-Hodgkin)
- 237 Multiple Myeloma
- 7.1K Ovarian Cancer
- 61 Pancreatic Cancer
- 487 Peritoneal Cancer
- 5.5K Prostate Cancer
- 1.2K Rare and Other Cancers
- 540 Sarcoma
- 731 Skin Cancer
- 653 Stomach Cancer
- 191 Testicular Cancer
- 1.5K Thyroid Cancer
- 5.8K Uterine/Endometrial Cancer
- 6.3K Lifestyle Discussion Boards