My Gleason score is 7 - 3+4. How long can I live without treatment?

I understand your concerns, and I want to share my personal journey. After being diagnosed with a Gleason 7, 4+3, and undergoing radical prostatectomy in 2020, I discovered the cancer had spread to my bladder. Despite this, my PSA levels remained undetectable for three years. However, 18 months ago, I was diagnosed with lymph node metastasis. The ADT treatment I received has caused significant side effects, and while my T-levels are still normal, my PSA is gradually increasing.

After careful consideration, I have chosen to pause treatment and adopt a watch-and-wait approach. This decision is deeply personal, influenced by my individual experiences, overall health, and faith. I am not here to discourage anyone from seeking treatment; rather, I emphasize the importance of making a choice that aligns with your own circumstances and values.

@plam, are you also dealing with a prostate cancer diagnosis?

In short, my 2nd biopsy showed two cores of cancer, one at 3+4. This was after a second MRI showed nothing. I decided on removal. Everything went fine with ZERO incontinence. However, my pathology report indicated the core was 4+5. My point: even the tests proved inaccurate. Do everything you can to make sure that your G score is accurate! Best wishes

I'm 78 and had a 7-4+3 and two at 6. My Dr. told me I had a 100% chance to live 5 more yrs. and a 70% chance to live another 10 yrs. doing nothing. After my PSA continued to increase I chose the TULSA PRO procedure and I'm very pleased with my decision. I had this worry hanging over me about the cancer progressing. Now my worry is about it returning but I don't dwell on it. I've know three friends who died from PC. They all waited too long or did nothing.

Hello, you left the Gleason 6 on half your prostate.. How did that go? My doctor recommends leaving the 6 on mine since the MRI didn`t pick it up and am doing TULSA...

I`m a little uneasy about it..

I originally had a MRI and biopsy that were negative. I had a second MRI 7 years later, again negative. I decided on a second biopsy which showed two cores of cancer, one at 3+4. I decide on surgery. My pathology report came back as 4+5, not 3+4. So far, cancer free. 🤞🙏My advice is to make SURE your scores are accurate. Mine weren’t and was glad I had it removed. I hope this helps. Best wishes. 🤞

I’d want confirmation regarding metastastis via MRI or PSMA PET scan. I was diagnosed Gleason 7 (3+4, 4+3) and PET showed spread into nearby lymph nodes. I (now 73) was told my anticipated lifespan would be shortened without treatment. I had radiation and am prescribed ADT for 24 months. It is definitely life changing but survivable.

Isn't 8,9, & 10 very capable of spread. I am at 9 and lymph node metastasis. Maybe it would be a good idea to have a PET scan from time to time.

My docs plan on an annual PSMA PET scan, and MRI as well. I am Stage 4, Gleason 9, but I am in remission thanks to being quickly put on ADT dual therapy right at the beginning and then radiation. Highly mutated cancers are much more dangerous and frequent scans are an important part if treatment. I am 72 and plan to be around for a long time. My cancer had spread to one lymph node and both sides of my pelvis, but all of those areas are cancer free now.

Boy, do I like reading stuff like this. Just starting my journey with Gleason 9 with lymph and bone mets. Started doublet therapy the day after the PSMA PET lit up. Radiation coming up in Sept. It's good to read that some of this stuff works from actual and directly parallel experience.
Thanks, Have a great day!