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Gleason 4+5, up from 4+3

Prostate Cancer | Last Active: Feb 7 11:46am | Replies (16)

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@jeffmarc

There is no next test of your Gleason score. You are a Gleason Nine, it won’t change because they have analyzed your prostate, and that is what they found in it. No future tests evaluate your Gleason score.

You need to realize that you do have an aggressive form of prostate cancer. Hopefully you’re working with doctors who are In a center of excellence where they can discuss your situation and come up with the best solution.

It is very likely that your cancer will come back with a Gleason nine. Have they discussed putting you on ADT, That may be needed to extend your life.

It could be they wait until your first PSA test after surgery to see if your PSA has dropped Significantly. It should be below .2 and even < .1 (undetectable). Mine was < .1 7 weeks after surgery. If it does not drop that low, then they’re probably is something else producing PSA. Salvage radiation may be something they discuss with you.

You can have a long life if you get good treatment.

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Replies to "There is no next test of your Gleason score. You are a Gleason Nine, it won’t..."

Many thanks for those insights. My first discussion with the urologist after my initial post-op chat is in 3 weeks, after my PSA test in 2 weeks. I'll ask about ADT. It's a shock to the system that I first heard of the possibility of cancer less than 7 months ago. This forum has been very helpful.