@jeffmarc
My most recent post-op Gleason scores from early 2025 are two comments above yours. Here was my Gleason scores from 2021. I hope this helps because I don't have access to much more info than this.
1. Prostate, "Les 1 Rt posterior lateral peripheral zone", needle core biopsy:
-Prostatic adenocarcinoma, Gleason score 3+3 = 6, grade group 1, involving 10% of 1 core
2. Prostate, right base, needle core biopsy:
-Prostatic adenocarcinoma, Gleason score 3+3 = 6, grade group 1, involving 5% of 1 core
3. Prostate, right mid, needle core biopsy:
-Benign prostate tissue with atrophy
4. Prostate, right apex, needle core biopsy:
-Benign prostate tissue with atrophy
5. Prostate, left base, needle core biopsy:
-Benign prostate tissue
6. Prostate, left mid, needle core biopsy:
-Benign prostate tissue with focal acute inflammation
7. Prostate, left apex, needle core biopsy:
-Benign prostate tissue
Clinical Information
Diagnosis:
R97.20 - Elevated PSA [ICD-10-CM]
Here is my "Oncotype DX Genomic Prostate Score*" from 2021. As far as I'm concerned it couldn't have been more wrong. Also attached is all my PSA history.
@im62at2024
Looking at your 2025 biopsy what your doctor has recommended makes sense to me. I started off with surgery and had no ADT for 3 1/2 years after. I was a 4+3. Then my PSA started rising so they gave me a 6 Month Lupron shot And two months later, I had salvage radiation. No more ADT until my PSA started rising again.
I didn’t find out until many years later that I had BRCA2 and that is why it keeps coming back. If I didn’t have it, the first surgery might have ended the whole thing. That’s where you’re at today. A 4+3 With the possibility that you won’t have a reoccurrence. If you want to get monthly blood tests and see if The PSA start starts coming back up. It may not.