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← Return to Gleason score 3 +4; Does percent of 3 versus percent of 4 matter?
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Gleason score 3 +4; Does percent of 3 versus percent of 4 matter?
Prostate Cancer | Last Active: Apr 28 11:40am | Replies (17)Comment receiving replies
@jeffmarc one core in the lesion was 3+4; the other 11 cores were benign.
Replies to "@jeffmarc one core in the lesion was 3+4; the other 11 cores were benign."
As Jeff and others indicate:
At 79, Active Surveillence with 1 core of 3+4 makes sense.
I have not had treatment yet. For the past 9 months, been working on obtaining information.
-PSA
-4K Blood test may make sense. Cheap and easy blood draw.
-Any lesions seen on MRI?
-MRI indicate any possible extracapular extension? ECE /EPE?
-PSMA PET scan performed?
-Do you have historical PSA test results? Has PSA been gradually going up or recent spike.
-“I think” A lot of what you want to determine is: How likely is the cancer to metastasize outside the prostate in the next few years?
-Ask your medical team, why treatment would be better than Active Surveillence. And, what tests can be performed or information obtained to better make a decision to not stay on Active Surveillence.
Best Wishes.
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@pblanch
This reinforcement is even more That you really want to consider active surveillance and no treatment at this point.
See what the decipher score shows it’s probably going to be low.