Gleason Score & Prostate Cancer Treatments

Gleason Score & Prostate Cancer Treatments | Memorial Sloan Kettering

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Memorial Sloan Kettering Cancer Center

14 жыл бұрын

Prostate cancer patients are considered high- or low-risk in part based on their Gleason score. Doctors use this tool to determine whether a patient's first treatment should be surgery or radiation, specialists at Memorial Sloan Kettering Cancer Center say.
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{partial transcript}
Let’s say we’ve got an elevated PSA - went for a biopsy and now have been diagnosed with prostate cancer. What I think most men and most people in the audience are interested in hearing is what to do next: Do I do surgery or do I choose radiation? Where do I go from here?
Let’s talk about some of the pros and cons of surgery. It used to be recommended that surgery was more for younger men and disease confined to the prostate?
We certainly reserve surgery for men that have a ten-year life expectancy at least. Men with less than a ten-year life expectancy can be probably treated in other ways that are much less difficult to go through. In the end, surgery is an assault; it basically is an operation that one has to go through. There is a hospital stay. There are catheters. Simply put, there is a lot a person has to go through with an operation, that if a man does not have a reasonable life expectancy, it is probably not worth going through. That’s not always true for individual patients, but most men who have less than a ten-year life expectancy will be treated with some other modality.
A ten-year life expectancy of someone is now age 75, so it’s not as though there should be an age cut off, per se…

Пікірлер: 30

@calbob750 2 жыл бұрын

If you are Gleason 6 be prepared for a lot more core samples.

@joeboy1001 4 жыл бұрын

I have no idea where Kam Lee got the erroneous information on the demise of the speakers in this video. They are all alive and well. Oscar Streeter MD

@donvito2682 4 жыл бұрын

I tested with a high psa..over 20..I was also told that it doesn't necessarily mean cancer..high PSA could be caused by other things..they scheduled me for an appointment in 3 weeks for a prostate biopsy...I dont want this unless it's absolutely necessary...why cant they check or rule out other causes first??...I'd hate to go through a horrid experience for nothing! ....any comments?

@basilwilson2796 4 жыл бұрын

My PSA went from 4.28 to 4.72 in a short period of time and since I have a family history I had a biopsy and it showed gleason score of 7 (3+4). I found out 5 days ago.This score is the lower end of intermediate risk. The urologist referred me to another doctor to consult consult before deciding weather to treat now or active surveillance, a kind of watch and wait. The biopsy itself was uneventful. No pain and a little bit of discomfort. It only took a couple minutes and I dressed and went home. No complications so far, its been 3 weeks. Try not to worry. Easy to say,right? The worst part was waiting and wondering. At first i imagined the worst and tried to find excuses to avoid it. but biopsy is the only way to know for sure.I researched as much as I could and that helped ease my mind. I am 70 years. An older brother died from it but the cancer was aggressive and in late stage. Another brother was caught early on and had radiation over 10 years ago and is doing well. With my family history biopsy was the right choice. Now I know what I am dealing with. The urologist said he could control it for 5 to 8 years so this may be a good option for me. Knowledge is the best reassurance and any decisions are yours alone.Let me know how you make out. Good luck.

@donvito2682 4 жыл бұрын

@@basilwilson2796 My PSA is 27. I went through with the prostate biopsy a week ago. It was painless...The doctor told me he took 17 samples of my prostate..15 of the samples showed cancer. I remember the doctor telling me the Gleason score of each sample. I'm not sure I understand what the Gleason score is except it has something to do with rating the cancer. All I know is..there were lots of 4s in there which is not good. The doc said: Theres a 65% chance that it spread into my bones and throughout my body...I have another appointment after new years for another test to find out..I'm 59 years old, my father died of cancer when he was 40..I was 10 years old at the time.

@marianna7702 4 жыл бұрын

@@donvito2682 I cannot believe he told u it spread. He should do the tests first

@donvito2682 4 жыл бұрын

@@marianna7702 he didnt say it spead..he said theres a 65% chance it spead..however, I went in for a full body examination and it came up negative. The cancer is only in the prostate. They gave me two options..have the prostate removed with surgery..which means a catheter and diaper for several months, or have the cancer removed with radiation..I chose radiation.

@marianna7702 4 жыл бұрын

@@donvito2682 Sorry what I meant was he never should have said you had a 65% chance of of it spreading to your bones. Why cause more worry then necessary. I hate when doctors do that. Glad to hear it hasn't spread be beyond the prostate.