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← Return to Gleason 6 (3+3) treatments
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Four months ago, Gleason 3+3=6 ; 40% of one core of 12 was abnormal at biopsy. Low risk Grade Group 1; MRI was clear prior to biopsy. PSA was elevated at 6.4.
Treatment discussion: Possible RARP or radiation treatments discussed but agreed presently unnecessary.
Active surveillance underway via repeat PSA 6 months after first biopsy. Will consider repeat biopsy one year after the first.
Replies to "Four months ago, Gleason 3+3=6 ; 40% of one core of 12 was abnormal at biopsy...."
If I had 1 core out of 12 with Gleason 3+3 = 6 , I would immediately request a 2nd opinion of my Pathology Result . Additionally for your Doctor to suggest RARP or Radiation up ffront is very concerning . IS HE A UROLOGIST or your GP. ?
I don't know a Urologist who would propose this treatment in your circumstance .
Get a 2nd Urologist opinion in addition to a 2nd Pathology reading .
On active surveillance " Regular scheduled PSA , Plus an MRI 1 year out from your original diagnosis to determine if there is any change in your tumor . If so , this would be followed by a 2nd Biopsy . Always a current MRI before each Biopsy .
Read Dr. Patrick Walsh's 5th Edition Book " Guide to Surviving Prostate Cancer " -- Educate yourself . Buying this book will be the best money you will ever spend .
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Generally you would get an MRI. If anything is found they can do a directed biopsy toward any lesion. Generally a positive biopsy will drive the MRI. Generally no need to get a biopsy once you know you have cancer until they can see a lesion to biopsy in the MRI. If you did a biopsy first and they found a lesion in the MRI you would likely have a 2nd targeted biopsy.