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Considering Tulsa Pro or Proton radiation (full gland)
Prostate Cancer | Last Active: 1 day ago | Replies (101)Comment receiving replies
I had a 3+4 I sent it to Dr Epstein he graded it to a 3 +3 but my urologist at Nebraska Med Center continue to call it 3+4 doing Watchfull waiting for about 4 years going back for another biopsy in July the last one was 2 years ago
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@rice Remember that a Gleason score is a pathologist’s educated, experienced opinion of what he (she) sees under a microscope. Much of the interpretation of tissue slides (as well as scans) is often as much an art as it is a science, and depends on the skill and experience of the person interpreting them. What one sees as a 3+4, another might see as a 3+3, and another as a 4+3.
In my case, when I got a 2nd opinion on my 3+4:
> if the 2nd opinion came back a 3+3, I was still going to be treated to a 3+4;
> if the 2nd opinion came back a 3+4, I was going to be treated to a 3+4 (of course);
> if the 2nd opinion came back a 4+3, I was going to be treated to the 4+3.
As it turned out, the 2nd opinion came back a 4+3. Not knowing which one was “right,” I chose to be treated to the 4+3.