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Gleason score

Posted by asolidrock @asolidrock, Sep 28 3:03pm

I never ask about my Gleason score. I hear it mentioned on this forum. Would it be on my PET scan report? My oncologist never mentioned it so I never thought to ask. Im sure it was high considering my metastatic pc

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someoneelse | @someoneelse | Sep 28 3:04pm

You need a biopsy to get a gleason score. Your score from scans would be PIRAD scores.

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shalom7777777 | @shalom7777777 | Sep 28 3:15pm

your biopsy report will mention the Gleason score. Does not mean that because you have mets (stage 4) your Gleason would be higher.

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brianjarvis | @brianjarvis | Sep 29 7:47am

Most every test you get related to prostate cancer results in a number that will be in the report. Those numbers are the primary drivers of next steps and treatment recommendations;
> PSA tests result in a PSA number.
> MRIs result in a PIRADS number.
> Biopsies result in a Gleason number.
> PSMA PET scans result in a SUVmax number.

Always ask for the number. If they only say that it’s low, medium, or high, that’s not enough to go from.

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asolidrock | @asolidrock | Sep 29 12:44pm
In reply to @brianjarvis "Most every test you get related to prostate cancer results in a number that will be..." + (show)
Profile picture for brianjarvis @brianjarvis

Most every test you get related to prostate cancer results in a number that will be in the report. Those numbers are the primary drivers of next steps and treatment recommendations;
> PSA tests result in a PSA number.
> MRIs result in a PIRADS number.
> Biopsies result in a Gleason number.
> PSMA PET scans result in a SUVmax number.

Always ask for the number. If they only say that it’s low, medium, or high, that’s not enough to go from.

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I'm familiar with the SUV number oncologist went over that on my second PET Scan.

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