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My medical support is a combination of Summa Health and Cleveland clinic. “Gleason “ rating has not been used in any of the test reports yet. This is the report:
NECK AND CHEST:
There is intense (maximal SUV 19) Pylarify accumulation within mediastinal lymph nodes, largest of which are located within the right paratracheal region. The intensity of uptake is consistent with nodal spread of prostate carcinoma. No tracer avid lymphadenopathy is seen within the head, neck, or axillary regions.
No tracer avid pulmonary nodules are seen.
ABDOMEN AND PELVIS:
There is intense (maximal SUV 13) Pylarify accumulation within the posterior aspect of the prostate to the left of midline, with extension into the left seminal vesicle, consistent with the patient's known prostate carcinoma. The prostate is enlarged on the low-dose CT images. Bulky intensely tracer avid (maximal SUV 25) left iliac and pelvic sidewall lymphadenopathy is consistent with nodal spread of prostate carcinoma. On the low-dose CT images, a small nonobstructive left renal calculus is present.
Replies to "My medical support is a combination of Summa Health and Cleveland clinic. “Gleason “ rating has..."
@dan67
Your biopsy should’ve given you a Gleason score. That’s very important to know because a high Gleason score can tell you if your cancer is Aggressive and could come back sooner.
Some people with high Gleason scores live for decades after treatment, others don’t.
When you have other tests, they normally don’t refer to your Gleason score. If you were to have a prostatectomy, they would.
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@dan67 Once prostate cancer has metastased, Gleason score isn't as important. It's mainly a predictor of how likely the cancer is to spread outside your prostate, but in retrospect you already know the answer to that: 100%. 🙁
When I asked my oncologist, he just said "assume Gleason 8 or 9," since it had already metastasised to my spine.