Gleason 6 Gland Boundary

Posted by rport3 @rport3, 3 hours ago

Active surveillance for 5 years with 6 month PSA and annual MRI. PSA hovering around 5.1. Two biopsies showing Gleason 6. The tumor seems to exhibit slow expansion with pressure on the gland boundary. Has anyone had experience with Gleason 6 escaping the prostate?

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Never heard of a Gleeson Six doing that, but, They only get about 1% of the prostate when they do a biopsy. It is not unusual for somebody with a 3+4 to find out after surgery that they had a higher Gleason score. In my case, it was a 4+3 after surgery, I know people that had 4+5.

It is possible they missed some things that are aggressive. Have you had an MRI? That can tell whether or not there are lesions that are more suspicious than Gleeson 6.

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