I had a long roller coaster ride starting in August 2023. Family doc took blood for PSA and it was 5.0, up from 3.2 the year before. Sent to Urologist. Took 2 months to get in. Another PSA still high at 5.0. Sent for 3T MRI in October 2023. Results showed a Pirads 5 lesion: 1.9cm. Off to UNC for biopsy in January and results came back. 13 cores, 1 out of 4 in the target area showed a 2mm malignancy; 0.078 inches. All other cores benign. 3+3 Gleason 6. Just had my oncology appointment and I’m now on Active Surveillance. A lot of worrying
Do not worry.Read a book of Robert Marckini.Great testimonial.Loma Linda Medical Center.Proton therapy.Good luck.Hope this help you decide…Thank me later.
I am in the same boat as you Gleason 6 PSA 4.9 Under active surveillance. I worry alot also but it doesn't do any good. Let's enjoy life good luck my friend.
@@ricke95126 I didn’t have any incontinence problems but I did have ED. I tried most of the usual remedies… pills, injections, vacuum pump and ultimately decided on implant surgery which i had done last summer. It’s amazing, absolutely no regrets.
@@marcandrechiffert6739 Unfortunately my psa started rising again a few months after surgery and I ended up doing radiation and adt. I’m in the wait and see phase now. Good luck with your treatment.
Diagnosed with Gleason 6 eight years ago. My urologist told me me biopsy was negative. I was very ignorant and forgot about until recently. Im in the process of reevaluating the situation. PSA has risen. I probably had the 6 years before it was discovered. Only symptoms are frequent urination.im 70. Im a Gleason 7 now. 4+3
At 70 yo, it is hard to decide what to do with a Gleason 4+3 score. IMO, it depends on the size of the lesions found on your MRI, where are they located, and how fast the PSA level rising. If it only doubled or a bit more than doubled what you have had, I would not treat it. It looks like the cancer grow quite slow based on the little info u shared and if itis true then you will die with PCa, not bc of it, therefore treatment is not necessary.
I'm 72 and have had growing PSA levels over the last few years. Currently 5.56. I just got an MRI a few days ago but won't see my doctor for nearly a month from now for the results. I've been watching a lot of these discussions between doctors and other experts this past week. Depending on what the results are, I will try to make the best treatment plan possible, if any. I'm divorced but can still have sex if I so desire. My symptoms of an enlarged prostate have only been mild to moderate difficulty urinating and an enlarged prostate with elevated PSA levels. The only medicine I take for it is a generic form of Cialis, which is a viable treatment to help with urination. If at all possible, I will advocate to leave my prostate in place to avoid most of the pitfalls of having it removed. I'm putting the cart before the horse I know, but I'm trying to educate myself to make an informed decision that will affect the quality of my life for as long as I live. If I'm to have a biopsy, the results will be a determining factor on treatment options such as radiation, etc., if any.
I am 51 years old diagnosed with gleason 6 (3+3). MRI Pi Rads 4 10x11 mm. PSA 5.33 ng/ml. Biopsy with 14 samples and 5 cores (0,4 cm to 1 cm) targeted to the lesion (3 positives & 2 negatives). Core with the greatest impact is 60%. 35% tumor involvement of all the material sent. Rest of prostate without evidence of malignancy. I'm really terrified not knowing what to do.
How does one approach gleason 6 if something like the Decipher test indicates "high risk"? That is, a greater chance that something bad will develop down the road.
OK, I got the “active surveillance” advice for my Gleason 6, I was 50 at the time. And I decided against it, thank god. I chose HIFU for treatment and through the course I found out I went from one tumor the size of a dime, to 2 tumors one the size of a nickel and the other as big as a quarter (found on MRI guided biopsy) in 6 months. And the doctors all said “that shouldn’t have happened, you don’t have small cell carcinoma”. The doctor that I was referred to for HIFU told me that had I waited I might have metastasized in a year, while no one could explain it that didn’t change the fact that my cancer had more then doubled in 6 months. Cancer free now for 12 years.
I’m 71. My PSA was slowly increasing the past four years. 18 months ago, it was 6.5. Recently it dropped to 5.8 This latest test included (the first time) % free PSA. It was 9.5%, indicating for my age, a 55% chance of cancer. Seeing a urologist soon. I want an MRI first, before getting a biopsy. I’m worried that he’ll want a biopsy instead. Should I get a biopsy right away, or insist on an MRI first?
Third year in row biopsies. Gleason 6 psa 1.4 . Psa every 3 months . Mri every year. Low cgrade cancer that is by gene very low grade. Why all this testing every year is alittle over doing it. Father had it but low grade treatment with seed. Why every year all of these test with Gleason 6.
I had 2 biopsies done but after the 1st one the eurologist warned me about the build up of scar tissues. The latter will render prostate removal surgery more likely to have greater side effects. Nevertheless I wanted a second a second opinion. I consulted a university hospital which confirmed the recommendation of going thru surgery. Let's hope that the scar tissues will not hinder the success of the prostatectomy too much.
I have recently been diagnosed with prostate cancer like yesterday morning and I'm a Level 1 or a 3+3=6 Gleason score! My Urologist wh I like suggested me to monitor with blood tests every couple of months etc..maybe an MRI in 12 or 18 months and possibly another biopsy within 3 years 2hich I guess which woukd depend upon the blood tests! Some of things mentioned in this podcast I didn't understand like 'free Psa' tests and some other terms ! Now I'm kind of wondering if I should double check with my Urologist to make sure the Gleason score was accurate which I assume it must be
Free PSA/Total PSA ratio is a guess work that aids in the decision to do the biopsy or not. Now you have done it, with a Gleason 6, there is no need for a free PSA/total PSA ratio test anymore. All the other blood tests mentioned here don't really make a difference in your life expectancy and may cause more h@rm than not, just like whar Dr Eggerner said. Stick with what your doc recommended, his suggestion sounds good.
Free PSA/Total PSA ratio is a guess work that aids in the decision to do the biopsy or not. Now you have done it, with a Gleason 6, there is no need for a free PSA/total PSA ratio test anymore.
All the other blood tests mentioned here don't really make a difference in your life expectancy and may cause more h@rm than not, just like what Dr Eggerner said. Stick with what your doctor recommended, his suggestion sounds good.
All the other tests mentioned here don't really make a difference in your life expectancy and may cause more h@rm than not, just like whar Dr Eggerner said. Stick with what your doc recommended, his suggestion sounds good.
I am 72 and was diagnosed with Gleason 3+3=6 nearly 2 years ago. I have seen videos in which it was explained that no one with a Gleason 6 has died of prostate cancer. I don't know if that is true, but it is reassuring for me at least.
I was just diagnosed with adenocarcinoma of prostate, gleason score 3+3=6 in 1(grade group 1) tumor involves 1 of 2 core(s) and approximately 5% .. Is this bad? Im 54 yrs old....
Does fluctuating PSA mean anything? My PSA has been at 8.2 for a year. I just had a PSA test after 6 months and it was down to 5.5. I did start taking a Lycopene supplement along with C, D, K, E and Zinc daily. Nice to have the number decrease for a change. Currently Gleason 6 and continuing active surveillance with check ups at 6 month intervals.
Mine went from 7.5 to the high threes after six months, and it parked there for a year. I was 40. Two years later I had an MRI which found a lesion, biopsy is tomorrow. Fluctuation could be due to infection or other acute events. Important to try and control the variables around test time as much as you can. But the important part you left out is your age. If I were 70, my numbers would be unremarkable. But I'm not.
@@jdotoz Hope your biopsy went ok. Not a pleasant procedure. I will be 62 in April. BPH seems to be getting worse. Next check up is early November. It will be interesting to learn if any significant changes. I wish you well. Early 40s seems way to young. Keep a good attitude as best you can. My faith gets me through the tough times in life.
@@user-WalleyeWI Thanks. Didn't seem to be any problems and they put me under for it. Now just have to wait... My dad had bad enlargement plus cancer, it made surgery the only option (early 70s). Rough spot to be in for anyone. At least I'm catching it early, if anything is there. I wish you the best too.
Diagnosed two years ago with 3 of 5 cores showing cancer. Largest of 3 was 3mm. Gleason 3+3. MRI T3 scan showed no lesion. P-Rads 1. Doc wanted to do another biopsy but after MRI, I asked to put it off for 6-months. Last biopsy, the genome lab the samples were sent to couldn’t test them. I think the samples were lost. I never learned if the samples showed typical or aggressive cancer so I am leaning toward another biopsy. I continue to research pros and cons of biopsies. Recovery from first one was unpleasant and longer than anticipated. PSA has been holding around 8 - 8.3. I will have next PSA in 2 weeks. Wondering if I should go ahead with another biopsy so I can obtain the genome lab results? I turn 61 in a week.
Привет! Есть данные, что скорость роста ПСА удваивается после каждой биопсии! Зачем постоянно травмировать простату, только , чтобы посмотреть на результаты?
I can relate to your experience. For my issues were about the same, 2 small lesions, the larger one was a 3+3 =6. Only kept checking the PSA which kept creeping up. I finally bit the bullet 3 years later and went for a second MRI. Diagnostic... Time remove that prostate. A 3rd lesion had formed and that one was near 1 cm in diameter and not well placed. Not wanting to jump head 1st I got a second opinion. In spite of the 1st urologist warning me about the resulting scar tissues I went ahead and had a second biopsy. The recommendation to remove the prostate was confirmed. It was still Gleason 3+3 = 6 but in more places. I could wait even longer but with the risk of an evolution for the worst. All docs agree one the fact that at this stage it is very unlikely that it already metastised but they can't be sure. Even though nowadays the biopsies are " precision guided" they can't exclude that the needles missed tissues possibly affected with a higher Gleason score. Very hard decision to take on view of the collateral damages resulting from that type of surgery.
@@Cervin_SuisseThank you for your reply. I wish you well if you decide for surgery. I see my doctor in two weeks for 6 month check up. PSA test in 10 days. Last test my PSA dropped about 3 points.
I was told that the risks of 3+3= 6 has already metastasized are slim, but not impossible. Also there is always the risk thats the biopsy needles missed more cancerous tissues(by just a mm.)
PSA is a blood test to determine the level of the said hormone. A biopsy is a surgical procedure to take samples of the lesions (tumours) detected by the MRI. Totally different things.
@@Cervin_Suisse at first he was talking about radiation and surgery. after doing my own research like with plaforms like this, I thought survelliance would be best for me.
@email3869 Thxs for your feedback. I'm still having second thoughts about the surgery. However having 2 separate entities recommending the surgery(on is a major university hospital) I'm scared to ignore the advise and have that cancer climb up the Gleason ladder. Surgery will hav to be done anyway and there risk of it spreading.
Totally agree with Dr E. You should never hang your hat on a bx result. Clinicians and patients should consider all the factors including imaging, PSA, density, ratios, tumor volumes and even consider second bx regarding risk stratification. Using molecular signature to call cancer is also risky because only biological behavior really matters. Some begin tumors have same molecular signatures as malignant ones. The discussion can keep on and on but the burden should not be on one person or one test
I’m 45, Pirads 5, Gleason 6 confirmed by 2 targeted in-bore biopsies. Genetic tests are ok, no cancer in family. PSA density is 0.11. PSA 4.8 not sure what to do, every doctor says something else. One says RP, second brachy or Tulsa Pro or AS, third LINAC MRI-guided radiation, fourth is looking into if I am a good fit for Nano-knife. Not fun. I did not expect this.
Get as many opinions you can from experts in the field. I assume the reason they are recommending treatment is because of your age. Ask about focal treatments and consider aggressive lifestyle adjustments like exercise and diet. I talk about it quite a bit. Good luck.
hi brother I under went radical prostatectomy biopsy showed Gleason 7 4+3 no metastasis by pet scan but only extend to left nerve just suspicious but surgeon removed it and spare the right my question is if it is possible to cure and get back erection Thanks sir
![Focal Therapies for Prostate Cancer with Stephen Scionti, MD [EP 65]](http://i.ytimg.com/vi/RVv4ubzeR4E/mqdefault.jpg)
I had a long roller coaster ride starting in August 2023. Family doc took blood for PSA and it was 5.0, up from 3.2 the year before.
Sent to Urologist. Took 2 months to get in. Another PSA still high at 5.0.
Sent for 3T MRI in October 2023.
Results showed a Pirads 5 lesion: 1.9cm.
Off to UNC for biopsy in January and results came back.
13 cores, 1 out of 4 in the target area showed a 2mm malignancy; 0.078 inches. All other cores benign.
3+3 Gleason 6.
Just had my oncology appointment and I’m now on Active Surveillance.
A lot of worrying
Do not worry.Read a book of Robert Marckini.Great testimonial.Loma Linda Medical Center.Proton therapy.Good luck.Hope this help you decide…Thank me later.
I am in the same boat as you Gleason 6 PSA 4.9 Under active surveillance. I worry alot also but it doesn't do any good. Let's enjoy life good luck my friend.
Dr Eggener did my prostatectomy 2 years ago, he’s a great doctor. Gleason 4+3.
I hope you are doing well. Do you have issues with ED or incontinence
@@ricke95126 I didn’t have any incontinence problems but I did have ED. I tried most of the usual remedies… pills, injections, vacuum pump and ultimately decided on implant surgery which i had done last summer. It’s amazing, absolutely no regrets.
How do you feel now about having had the prostatectomy? I'm opting for radiation
@@marcandrechiffert6739 Unfortunately my psa started rising again a few months after surgery and I ended up doing radiation and adt. I’m in the wait and see phase now. Good luck with your treatment.
@@marcandrechiffert6739All variables aside, ask about the possibility of radiation leading to another cancer in a few years.
Diagnosed with Gleason 6 eight years ago. My urologist told me me biopsy was negative. I was very ignorant and forgot about until recently. Im in the process of reevaluating the situation. PSA has risen. I probably had the 6 years before it was discovered. Only symptoms are frequent urination.im 70. Im a Gleason 7 now. 4+3
At 70 yo, it is hard to decide what to do with a Gleason 4+3 score. IMO, it depends on the size of the lesions found on your MRI, where are they located, and how fast the PSA level rising. If it only doubled or a bit more than doubled what you have had, I would not treat it. It looks like the cancer grow quite slow based on the little info u shared and if itis true then you will die with PCa, not bc of it, therefore treatment is not necessary.
I'm 72 and have had growing PSA levels over the last few years. Currently 5.56. I just got an MRI a few days ago but won't see my doctor for nearly a month from now for the results. I've been watching a lot of these discussions between doctors and other experts this past week. Depending on what the results are, I will try to make the best treatment plan possible, if any. I'm divorced but can still have sex if I so desire. My symptoms of an enlarged prostate have only been mild to moderate difficulty urinating and an enlarged prostate with elevated PSA levels. The only medicine I take for it is a generic form of Cialis, which is a viable treatment to help with urination. If at all possible, I will advocate to leave my prostate in place to avoid most of the pitfalls of having it removed. I'm putting the cart before the horse I know, but I'm trying to educate myself to make an informed decision that will affect the quality of my life for as long as I live. If I'm to have a biopsy, the results will be a determining factor on treatment options such as radiation, etc., if any.
@bigdaddy5948 Gleason 3+3 = 6 is a negative diagnostic? It means he is from that school who think this rating is not considered as cancer ?
I am 51 years old diagnosed with gleason 6 (3+3). MRI Pi Rads 4 10x11 mm. PSA 5.33 ng/ml.
Biopsy with 14 samples and 5 cores (0,4 cm to 1 cm) targeted to the lesion (3 positives & 2 negatives). Core with the greatest impact is 60%. 35% tumor involvement of all the material sent. Rest of prostate without evidence of malignancy. I'm really terrified not knowing what to do.
I am 53 and dealing with the same thing. Only concern is that my psa keeps rising.
How does one approach gleason 6 if something like the Decipher test indicates "high risk"? That is, a greater chance that something bad will develop down the road.
OK, I got the “active surveillance” advice for my Gleason 6, I was 50 at the time. And I decided against it, thank god. I chose HIFU for treatment and through the course I found out I went from one tumor the size of a dime, to 2 tumors one the size of a nickel and the other as big as a quarter (found on MRI guided biopsy) in 6 months. And the doctors all said “that shouldn’t have happened, you don’t have small cell carcinoma”.
The doctor that I was referred to for HIFU told me that had I waited I might have metastasized in a year, while no one could explain it that didn’t change the fact that my cancer had more then doubled in 6 months. Cancer free now for 12 years.
Any side effects from the HIFU treatment ? Knowing that is it largely dependent on the locations of the tumours in the prostate topography.
@@Cervin_Suisse As it turns out I chose HIFU to avoid side effects, but I guess because it was so new I ended up getting all the side effects.
@paulsdrc Sorry to hear about that. Did you recover some functionality with time ?
@@Cervin_Suisse some, but not all. After what is now 57 procedures over the last 12 years.
@@paulsdrc 57 procedures ?!
I’m 71. My PSA was slowly increasing the past four years. 18 months ago, it was 6.5. Recently it dropped to 5.8
This latest test included (the first time) % free PSA. It was 9.5%, indicating for my age, a 55% chance of cancer.
Seeing a urologist soon. I want an MRI first, before getting a biopsy. I’m worried that he’ll want a biopsy instead. Should I get a biopsy right away, or insist on an MRI first?
Third year in row biopsies. Gleason 6 psa 1.4 . Psa every 3 months . Mri every year. Low cgrade cancer that is by gene very low grade. Why all this testing every year is alittle over doing it. Father had it but low grade treatment with seed. Why every year all of these test with Gleason 6.
Age 73 and exercise 5 times and an athlete.
I had 2 biopsies done but after the 1st one the eurologist warned me about the build up of scar tissues. The latter will render prostate removal surgery more likely to have greater side effects. Nevertheless I wanted a second a second opinion. I consulted a university hospital which confirmed the recommendation of going thru surgery. Let's hope that the scar tissues will not hinder the success of the prostatectomy too much.
Simply to see if there is some 7 other higher developing. That doesn't make sense to you ?
I have recently been diagnosed with prostate cancer like yesterday morning and I'm a Level 1 or a 3+3=6 Gleason score! My Urologist wh I like suggested me to monitor with blood tests every couple of months etc..maybe an MRI in 12 or 18 months and possibly another biopsy within 3 years 2hich I guess which woukd depend upon the blood tests! Some of things mentioned in this podcast I didn't understand like 'free Psa' tests and some other terms ! Now I'm kind of wondering if I should double check with my Urologist to make sure the Gleason score was accurate which I assume it must be
Free PSA/Total PSA ratio is a guess work that aids in the decision to do the biopsy or not. Now you have done it, with a Gleason 6, there is no need for a free PSA/total PSA ratio test anymore. All the other blood tests mentioned here don't really make a difference in your life expectancy and may cause more h@rm than not, just like whar Dr Eggerner said. Stick with what your doc recommended, his suggestion sounds good.
Free PSA/Total PSA ratio is a guess work that aids in the decision to do the biopsy or not. Now you have done it, with a Gleason 6, there is no need for a free PSA/total PSA ratio test anymore.
All the other blood tests mentioned here don't really make a difference in your life expectancy and may cause more h@rm than not, just like what Dr Eggerner said.
Stick with what your doctor recommended, his suggestion sounds good.
All the other tests mentioned here don't really make a difference in your life expectancy and may cause more h@rm than not, just like whar Dr Eggerner said. Stick with what your doc recommended, his suggestion sounds good.
I think that doing a biopsy or not will depend more on the images yielded by the MRI than the PSA level.
At a gleason 6, is there some sort of medicine to get rid of the little cancer that i have ?
I am 72 and was diagnosed with Gleason 3+3=6 nearly 2 years ago. I have seen videos in which it was explained that no one with a Gleason 6 has died of prostate cancer. I don't know if that is true, but it is reassuring for me at least.
The problem is that 3+3 =6 can evolve in 3+4's and so on
I was just diagnosed with adenocarcinoma of prostate, gleason score 3+3=6 in 1(grade group 1) tumor involves 1 of 2 core(s) and approximately 5% .. Is this bad? Im 54 yrs old....
Nope!
Does fluctuating PSA mean anything? My PSA has been at 8.2 for a year. I just had a PSA test after 6 months and it was down to 5.5. I did start taking a Lycopene supplement along with C, D, K, E and Zinc daily. Nice to have the number decrease for a change.
Currently Gleason 6 and continuing active surveillance with check ups at 6 month intervals.
Mine went from 7.5 to the high threes after six months, and it parked there for a year. I was 40. Two years later I had an MRI which found a lesion, biopsy is tomorrow.
Fluctuation could be due to infection or other acute events. Important to try and control the variables around test time as much as you can. But the important part you left out is your age. If I were 70, my numbers would be unremarkable. But I'm not.
@@jdotoz Hope your biopsy went ok. Not a pleasant procedure. I will be 62 in April. BPH seems to be getting worse. Next check up is early November. It will be interesting to learn if any significant changes.
I wish you well. Early 40s seems way to young. Keep a good attitude as best you can. My faith gets me through the tough times in life.
@@user-WalleyeWI Thanks. Didn't seem to be any problems and they put me under for it. Now just have to wait...
My dad had bad enlargement plus cancer, it made surgery the only option (early 70s). Rough spot to be in for anyone. At least I'm catching it early, if anything is there. I wish you the best too.
@@jdotoz
Thank you. I may request to be put under if I have another biopsy. My Dr. took many more cores than the average.
What are you defining as a huge (large) lesion. Is .7cm large or small or medium. MRI grade 3 wo contrast/grade 4 with contrast
Diagnosed two years ago with 3 of 5 cores showing cancer. Largest of 3 was 3mm. Gleason 3+3.
MRI T3 scan showed no lesion. P-Rads 1. Doc wanted to do another biopsy but after MRI, I asked to put it off for 6-months. Last biopsy, the genome lab the samples were sent to couldn’t test them. I think the samples were lost. I never learned if the samples showed typical or aggressive cancer so I am leaning toward another biopsy. I continue to research pros and cons of biopsies. Recovery from first one was unpleasant and longer than anticipated. PSA has been holding around 8 - 8.3. I will have next PSA in 2 weeks. Wondering if I should go ahead with another biopsy so I can obtain the genome lab results? I turn 61 in a week.
Привет! Есть данные, что скорость роста ПСА удваивается после каждой биопсии!
Зачем постоянно травмировать простату, только , чтобы посмотреть на результаты?
@@МТС-ц2юThank you for the comment.
I can relate to your experience. For my issues were about the same, 2 small lesions, the larger one was a 3+3 =6. Only kept checking the PSA which kept creeping up. I finally bit the bullet 3 years later and went for a second MRI. Diagnostic... Time remove that prostate. A 3rd lesion had formed and that one was near 1 cm in diameter and not well placed. Not wanting to jump head 1st I got a second opinion. In spite of the 1st urologist warning me about the resulting scar tissues I went ahead and had a second biopsy. The recommendation to remove the prostate was confirmed. It was still Gleason 3+3 = 6 but in more places. I could wait even longer but with the risk of an evolution for the worst. All docs agree one the fact that at this stage it is very unlikely that it already metastised but they can't be sure. Even though nowadays the biopsies are " precision guided" they can't exclude that the needles missed tissues possibly affected with a higher Gleason score. Very hard decision to take on view of the collateral damages resulting from that type of surgery.
@@МТС-ц2юI believe that the MRI scan can accomplish the task of identifying lesions without all the damage.
@@Cervin_SuisseThank you for your reply. I wish you well if you decide for surgery. I see my doctor in two weeks for 6 month check up. PSA test in 10 days. Last test my PSA dropped about 3 points.
I was just diagnosed with Gleason 6 prostate cancer. I DONT KNOW WHAT TO DO. Gleason 6 might metastasized so what to do?
I was told that the risks of 3+3= 6 has already metastasized are slim, but not impossible. Also there is always the risk thats the biopsy needles missed more cancerous tissues(by just a mm.)
What is the difference between Gleeson Score and PSA ?
PSA is a blood test to determine the level of the said hormone. A biopsy is a surgical procedure to take samples of the lesions (tumours) detected by the MRI. Totally different things.
what about Gleason 3+3=6 and the tumor is 0.1 cm and PSA of 1.8 and I am 55 years old?
Can relate to your diagnosis! Hang tight, live well🙏
I imagine that your urologist said there was no treatment to be considered at this time right ?
@@Cervin_Suisse at first he was talking about radiation and surgery. after doing my own research like with plaforms like this, I thought survelliance would be best for me.
@email3869 Thxs for your feedback. I'm still having second thoughts about the surgery. However having 2 separate entities recommending the surgery(on is a major university hospital) I'm scared to ignore the advise and have that cancer climb up the Gleason ladder. Surgery will hav to be done anyway and there risk of it spreading.
Totally agree with Dr E. You should never hang your hat on a bx result. Clinicians and patients should consider all the factors including imaging, PSA, density, ratios, tumor volumes and even consider second bx regarding risk stratification. Using molecular signature to call cancer is also risky because only biological behavior really matters. Some begin tumors have same molecular signatures as malignant ones. The discussion can keep on and on but the burden should not be on one person or one test
What about Gleason 3+4=7 ?
What about men Gleason 6 and PSA 1.2..
i wish ye would make your minds up on this ,there are some of us that are effected money and insurance wise over this
I’m 45, Pirads 5, Gleason 6 confirmed by 2 targeted in-bore biopsies. Genetic tests are ok, no cancer in family. PSA density is 0.11. PSA 4.8 not sure what to do, every doctor says something else. One says RP, second brachy or Tulsa Pro or AS, third LINAC MRI-guided radiation, fourth is looking into if I am a good fit for Nano-knife. Not fun. I did not expect this.
Get as many opinions you can from experts in the field. I assume the reason they are recommending treatment is because of your age. Ask about focal treatments and consider aggressive lifestyle adjustments like exercise and diet. I talk about it quite a bit. Good luck.
@@DrGeoProstatePodcast👍🙂
@89 itis Please read a book of Robert Marckini.Great testimonial.Proton therapy.Loma Linda Medical Center.Hope this will help you.Thank me latter
@@Nick-o5fI checked out the website and signed up. Will certainly research this. Might be a great option.
hi brother
I under went radical prostatectomy biopsy showed Gleason 7 4+3 no metastasis by pet scan but only extend to left nerve just suspicious but surgeon removed it and spare the right
my question is if it is possible to cure and get back erection
Thanks sir
This was a great information. Thank you
Glad you enjoyed it!
Is hifu used to treat 3plus 3?
Very informative episode. Thanks.
Eggener mentions he passes out info from Dr Geo to all patients. How do we get that info?
Thank you for these videos. ❤
Thanks for such a useful informatios.
Thanks
Welcome
A great vid......
Dr Eggener, you gave him DrGEO a copy of materials you give your patients, Dr. Geo. Can I get that ?
Whats your contact info Dr Scott?
Call it whatever you want but eventually it will progress to cancer stage.
No, that's the point. Gleason 6 metastasizing seems to be very rare, if not nonexistent.
@@jdotoz you can believe what ever you like but in know for sure!
@@jaybrox1652 It's not a matter of belief, but of data.
Data is only data reality counts!
Don't be too surprised when your 3+3 sudenly change into 3+4 and your doctor offered you Radiation! I take Data with a pinch of salt.