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Prostate Cancer Gleason 6 Group 1 + Hypogonadism

Prostate Cancer | Last Active: Jun 3 8:22pm | Replies (30)

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Profile picture for Jeff Marchi @jeffmarc

@bobgolf
They want to stop labeling Gleeson Six as cancer
Breaking News: New Study By The Lions of Active Surveillance Says Removing the Cancer Label Could Save Lives
https://howardwolinsky.substack.com/p/what-if-gs6-isnt-really-cancer-new
There are more studies on this issue that I posted already.

I would really question this doctor’s competence. Somebody with a Gleason six should not be treated unless it is really extensive, High number, of cores, high percentage. And even then, treatment is questionable.

14 years ago they stopped testing people for PSA because too many people were being over treated when they had only a Gleason 6. That’s one reason we have a wave of people with very advanced cases these days.

25 years ago, a doctor friend of mine who had a Gleason Six was told he needed to have his prostate out, Searched the whole country for a Doctor Who could do it, Went to the doctor that said he invented it, and he didn’t do it for him, after traveling across the country to be operated on. He had ED for 25 years. Turns out he had an absolutely minimal case of Gleason six, But back, then they were operating on people with it.

I’m not so sure that high testosterone makes sense, But if Gleason six is not prostate cancer, then there’s really no difference between someone with no Gleason and score and someone with a six. The thing is, the areas that show Gleason Six do not actually Get a rise in Gleason score over time, When there is a rise in Gleason score, it is a different spot.

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Replies to "@bobgolf They want to stop labeling Gleeson Six as cancer Breaking News: New Study By The..."

@jeffmarc My prediction is that if Gleason 6 is not cancer than the insurance companies will stop paying for MRIs or biopsies for those on active surveillance with no diagnosed cancer (i.e., 3+3). Sort of like a repeat of the no PSA test recommendation. Need to change NCCN treatment guidelines so insurance companies usually will not pay for RPs or radiation if Group 1 disease.

@jeffmarc So Gleason 3’s never go on to 4? There have to be cells that go from normal to PIN and then up the chain, no?
Phil