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Is weight loss in Stage 1, Gleason score of 6 cancer, normal?
Prostate Cancer | Last Active: Mar 29 5:06pm | Replies (8)Comment receiving replies
Prostate cancer, when detected early, is usually asymptomatic. Has he had any other bloodwork done (CBC and CMP) to look for any other users that might be indicators of his recent weight loss?
By the recommendation to “be monitored,” I assume you mean “active surveillance?” The reason for active surveillance for Grade Group 1 is that there is some debate in the medical community as to whether a true 6(3+3) is actually cancer. Some in the medical community say that since a “3” cell structure can’t metastasize it shouldn’t be considered as a G7+. (That it’s a harmless lesion - that it shouldn’t necessarily be actively treated.) Active surveillance is almost always called for with a 6(3+3) unless there are other known risk factors.
You mentioned his Gleason score; did he also have an MRI? If so, what were those results?
Does he have any other factors that might indicate higher risk?: 1st degree relative with prostate cancer, African-American descent, Ashkenazi Jewish descent, low PSA Doubling Time, high PSA Velocity, low % Free PSA, high PSA Density, negative biomarker (genomic) test results, or negative genetic (germline or somatic) test results.
For now, if it were me I would not worry (much), and follow all the test numbers closely, monitoring them for any problematic trend.
(I was on active surveillance with a 6(3+3) for over 8 years. When we eventually saw a Gleason 7, it was then that I had active treatment.)
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Thank you for sharing and educating me more. We haven't had any blood tests (CBC and CMP) that I know of, but we meet with the surgeon who did the transperineal biopsy next month. He had his MRI few weeks ago. BTW, this forum is so helpful, it is the ONLY reason that he got a transperineal biopsy instead of the transrectum. I read two different people told me to ensure he got the transperineal and I researched and understood the reason. However, when my parter was scheduled, no one asked him what type he was getting, he was just told he was getting a transrectal biopsy. On the day of the procedure, only because Mayo Clinic advice, we asked the surgeon to do the transperineal, and he said "sure" like it was nothing, but he even admitted the rate of bacterial infection was lower with the transperineal. Anyway, I am so grateful for the knowledge everyone is sharing.
Yes, you are right it's active surveillance, which I really don't know what that means yet..biopsys? annually? My partner does have familial prostrate cancer (pc). His maternal grandfather died of it and his maternal uncle (mother's brother) died of pc in his 40s, and my partner is African American, so there are other risk factors. But right now he feels fine, no pain, and he has a huge appetite despite losing the weight..so we think maybe it is weight loss due to the stress..
We will let you know..btw I am sorry that your Gleason score rose to 7..so then what kind of active treatment did you have to get at 7? Wishing you peace, take care.