I highly recommend that anyone dealing with prostate cancer like me thoroughly study information provided on the PCRI site. Treatments for prostate cancer are highly multi-factorial. Sorting through alternative treatments can be exhausting and confusing. The PCRI site is -- by far --- the clearest and most comprehensive source of prostate cancer information you will find in one place. I can't emphasize enough the clarity of the communication. It will make your decision-making process much easier and you'll feel much more confident in whatever treatment you choose. Good luck and good health!
Prostate cancer was in my family so when a 3+4 diagnosis with high psa numbers showed up at 54 watchful waiting wasn’t something I considered . Had the prostate removed. Now 8 years later and psa tests coming back at zero I know it was the right decision . No incontinence issues and won’t have to deal with any of the problems with the prostate in later life .
My father 34 years ago was said to have prostate cancer, age 65. The family kept it quiet. He did nothing about it,and died of natural causes 15 years later. At age 65 I had a 7 psa. Saw 3 doctors also had a biopsy that showed 4 +3 and had 3 opinions choose the one that allowed me to go active surveillance. 5 years later my PSA started to go to 12. For me I believe Viagra and new gf were the root cause. Finally went for proton radiation . I will never have any more biobsies or PSA readings. I now would have changed life style and kept surveillance and nothing else .My doctor wanted another biopsy and demanded I go through radiation if readings had worsend. My only biopsy was bad enough. I wish now that I never had a PSA test that started the ball rolling. There is allot of magic gone now.
I’m 59 in great shape and just got diagnosed with prostate cancer. My doctor said it was a low grade cancer , low end of aggressive. My Gleason score was 3+4 so I’m sitting down with my Urologist next week. I have been doing research since I found out a few months ago that I might have prostate cancer because I want to be prepared for all the options available. It’s going to be very frustrating trying to make the right choice. I have learned so much from watching the PCRI videos and appreciate them putting this content out there. Dr Sholtz always has a positive message that brings me comfort as this is not easy to hear this news that you have cancer. He gives you hope and Cindy that you can definitely be cured by getting treated by the right Center of Excellence.
Thank you so much! You are very helpful as I received this message a year later. I have 3+4 and you give me hope saying that is a low grade low end of aggressive. I appreciate your comments!
Don’t rush into treatment as the treatment could be worse than your cancer. I got a decipher test done on my biopsy which showed low grade. When I showed my biopsy results and decipher genomic test results which showed my chance of cancer spreading in the next 10 years is 1.87 percent. My specialist who specializes in cryotherapy told me the treatment would be worse than the cancer right now so he advised me to just watch it . I get a PSA test every 6 months and an MRI once a year. So far there has been no change in the size of the lesions. I’m glad I decided to get the genomic test done. It made my decision much easier to not get treatment at this time. People rush into treatment without doing research first. Prostate Cancer moves very slowly so as long as you watch it you may never need treatment
This is the first time I've heard about the Teal score. My urologists NEVER MENTIONED THAT ONCE and I had 3 + 4 Gleason score that they played out like I was on deaths door. Im not saying I wouldn't have had the surgery to remove my prostate but I sure as hell would have liked to have had all of the data. This seems like a HUGE omission on their part. Well, nothing I can do about it now.
"Teal" is proprietary to our organization, the Prostate Cancer Research Institute," but it corresponds to what doctors typically call "intermediate-risk." A Gleason 3+4 is considered either a "favorable intermediate-risk" or "intermediate-risk without either favorable or unfavorable features" depending on the amount of cores that were positive, the amount of Gleason 4 in each of those positive cores, and some other factors. Sorry to hear that they used the scare tactics on you; that is, unfortunately, still pretty common and one of the reasons why we exist, but it is always disappointing when someone finds us (or any other reliable source of patient-focused information) too late. Best wishes on your recovery and feel free to contact our free helpline if you ever have any questions. You can find our contact information at pcri.org/helpline.
Hi, thank you for this interview. I have been diagnosed with 3+3. Should I be concerned? Where can I find more information about the different types of treatment? I prefer to live a cleaner lifestyle before taking treatments.
I have 4+3 & 3+4, I have undergone IMRT and six months ADT, now one year after ending the IMRT and nine months after ADT, PSA started rising gradually from lowest 0.03 to 0.72. New MP MRI and PSMA PET both turned negative. How high should the PSA rise at this point? Would the MP MRI and PSMA PET have missed something? What shall I do next? THANK YOU.
Good info. If the first number is the most common and the second number the next most common, how is 4+4 determined? Are there different kinds of 4 that fall on each side of the plus sign??
Thanks for the info, my Gleason was 7 and I was given both numbers. All cores were positive, starting PSA 48, I was 50 at diagnosis. I think I won round one, now to see how far out I can take round two before it starts.
@@florebenji6910 I've been doing well until last week. I was changed to checking PSA every 6 months about the same time as my last ADT finished. In Aug it was undetectable. My shot was gone end of Sept. End of Oct it was up to .1, last week my PSA was 2.7. Still less than 4 but I will do some follow up scans to see what is going on. Three years on ADT, the last year was rough. I don't look forward to it. Looking at going vegan, see the recent video on this page about sugar.
stein shaw can I just ask did you have the surgery to remove the prostate cancer? Because my dad PSA stands at 16.4, he’s Gleason score was 7 on group 3, so there’s two 4+3 plus one 3+4 it’s rather confusing
@@florebenji6910 my cancer had escaped the prostate so I was not a surgery candidate. I started ADT, let that work for a month, did 45 rounds of radiation, a month rest and then 6 rounds of docetaxel. I was supposed to go 2 to three years of ADT after the last radiation. I requested to stop because my working memory was gone and I'm still working full time. That last 6 month shot actually lasted 12 months so I was only about 3 months short of the 3 years. My numbers have been good so I didn't expect the rise. I was hoping round two would be a decade or two out, not months.
@@jdpatrick1106 I was not a surgery candidate because it had escaped the prostate, 45 rounds of radiation and 6 rounds of Docetaxel. I was on Lupron or Eligard for 3 years, was off for about 8 months and started back on Lupron a couple weeks ago. Going to start Zytiga next week.
Hello, thanks for the great channel and information given here. My father Bharat Singh age 68, weight 72kg, height 176 cm is diagnosed for 4+3=7 Gleason score prostate cancer that has spread to pelvic bones, nearby lymph nodes and lumber spine. I have watched your video about the treatment however it's two years old now. I wanted to understand if we have some new options in to treat this in these two years then please help me on that. Thank you so much.
@Surya Singh May Allah give him good health and long life my father has also diagnosed prostate bone mets I m so worried I think i will die due to panic don't want to lose my father
Junielou, Here are a few videos we have on BPH: BPH (Enlarged Prostate) & Prostate Cancer - ua-cam.com/video/qYq3RFVMAdQ/v-deo.html BPH Treatments Explained - ua-cam.com/video/6Yy_1T77wPg/v-deo.html BPH Explained - ua-cam.com/video/FKI4n4g9j7s/v-deo.html
Thank you so much for the high-quality educational video series. I have learned so much and have recommended others about prostate cancer by watching your videos. One question: Is there an area of concern about the return of cancer after radiology treatment? My doctor has mentioned that if cancer returns after radiology, the subsequent treatment would be very difficult. If this is true, what is the reason for not being able to remove the prostate after radiology treatment? Also, is the rate of return for cancer after radiology higher than surgery?
Salvage prostatectomy after radiation is extremely difficult and risky surgery! There are only a few surgeons who do it. The best known (as far as I'm aware) is Dr. R. Jeffrey Karnes at Mayo Clinic MN.
You have to seriously consider possible secondary treatment options when addressing PC at a younger age. Radiation at a younger age does complicate follow up options should your PC return in the prostate area. Salvage surgery is not a great option in most cases. If outcomes and the possible need for follow up treatment of PC are equal then age on initial intervention is a big factor. For older PC patients radiation might be a better choice. In younger patients that might not be as true. Do your research and ask your doctors (yes... get a few opinions from different specialists) the right questions to pick the path that's right for you!
This is good information, but having just had robotic radical prostatectomy it makes me realise he's not pro- surgery.... So you need to consider more than what he is just saying here with regards to goal therapies
I am 82 years old Diabetes CABG and undergone prostrate surgery in 2019 for benign prostate. Theron it came that I am having prostate cancer type2 Gscore 3 +4=7.Kindly guide me what should I do. Hope for guidance. I am from Delhi India.
It is common and good practice for your urologist or oncologist to explain the type of cancer that was discovered and the implications and options depending on the cancer's features and your individual situation and desires. This information (e.g Gleason Score, scan results, etc.) may also be available in your medical records, which are usually available online or can be requested, but your doctor should be explaining what it all means. If you have any questions about your case, feel free to contact our free helpline at pcri.org/helpline.
I highly recommend that anyone dealing with prostate cancer like me thoroughly study information provided on the PCRI site. Treatments for prostate cancer are highly multi-factorial. Sorting through alternative treatments can be exhausting and confusing. The PCRI site is -- by far --- the clearest and most comprehensive source of prostate cancer information you will find in one place. I can't emphasize enough the clarity of the communication. It will make your decision-making process much easier and you'll feel much more confident in whatever treatment you choose. Good luck and good health!
Thank you!
Prostate cancer was in my family so when a 3+4 diagnosis with high psa numbers showed up at 54 watchful waiting wasn’t something I considered . Had the prostate removed. Now 8 years later and psa tests coming back at zero I know it was the right decision . No incontinence issues and won’t have to deal with any of the problems with the prostate in later life .
Hi Scott, PSA 0, this is actual 0 or small numbers value of.01-.03 or
My father 34 years ago was said to have prostate cancer, age 65. The family kept it quiet. He did nothing about it,and died of natural causes 15 years later. At age 65 I had a 7 psa. Saw 3 doctors also had a biopsy that showed 4 +3 and had 3 opinions choose the one that allowed me to go active surveillance. 5 years later my PSA started to go to 12. For me I believe Viagra and new gf were the root cause. Finally went for proton radiation . I will never have any more biobsies or PSA readings. I now would have changed life style and kept surveillance and nothing else .My doctor wanted another biopsy and demanded I go through radiation if readings had worsend. My only biopsy was bad enough. I wish now that I never had a PSA test that started the ball rolling. There is allot of magic gone now.
You are lucky to have zero incontinence, it's said to be very rare, with total prostatectomy.
Thank you very much! Very helpful and glad that you are clean.
@@barnacleremover Thank you for being so open. But why would you never have had the PSA?
I’m 59 in great shape and just got diagnosed with prostate cancer. My doctor said it was a low grade cancer , low end of aggressive. My Gleason score was 3+4 so I’m sitting down with my Urologist next week. I have been doing research since I found out a few months ago that I might have prostate cancer because I want to be prepared for all the options available. It’s going to be very frustrating trying to make the right choice. I have learned so much from watching the PCRI videos and appreciate them putting this content out there. Dr Sholtz always has a positive message that brings me comfort as this is not easy to hear this news that you have cancer. He gives you hope and Cindy that you can definitely be cured by getting treated by the right Center of Excellence.
Thank you so much! You are very helpful as I received this message a year later. I have 3+4 and you give me hope saying that is a low grade low end of aggressive. I appreciate your comments!
Don’t rush into treatment as the treatment could be worse than your cancer. I got a decipher test done on my biopsy which showed low grade. When I showed my biopsy results and decipher genomic test results which showed my chance of cancer spreading in the next 10 years is 1.87 percent. My specialist who specializes in cryotherapy told me the treatment would be worse than the cancer right now so he advised me to just watch it . I get a PSA test every 6 months and an MRI once a year. So far there has been no change in the size of the lesions. I’m glad I decided to get the genomic test done. It made my decision much easier to not get treatment at this time. People rush into treatment without doing research first. Prostate Cancer moves very slowly so as long as you watch it you may never need treatment
@@shamrock8561 gracias
This is the first time I've heard about the Teal score. My urologists NEVER MENTIONED THAT ONCE and I had 3 + 4 Gleason score that they played out like I was on deaths door. Im not saying I wouldn't have had the surgery to remove my prostate but I sure as hell would have liked to have had all of the data. This seems like a HUGE omission on their part. Well, nothing I can do about it now.
"Teal" is proprietary to our organization, the Prostate Cancer Research Institute," but it corresponds to what doctors typically call "intermediate-risk." A Gleason 3+4 is considered either a "favorable intermediate-risk" or "intermediate-risk without either favorable or unfavorable features" depending on the amount of cores that were positive, the amount of Gleason 4 in each of those positive cores, and some other factors. Sorry to hear that they used the scare tactics on you; that is, unfortunately, still pretty common and one of the reasons why we exist, but it is always disappointing when someone finds us (or any other reliable source of patient-focused information) too late. Best wishes on your recovery and feel free to contact our free helpline if you ever have any questions. You can find our contact information at pcri.org/helpline.
most urologist's do not know much about prostate cancer
Hi, thank you for this interview. I have been diagnosed with 3+3. Should I be concerned? Where can I find more information about the different types of treatment? I prefer to live a cleaner lifestyle before taking treatments.
Hi Jim what did you do about your Prostate cancer ?
It's shame that I learned more about this condition and treatment from your comprehensive web-series than from my Urologist
100 % agree. A lot of doctors are just running people through like cattle.
I have a score of 3+3 and been advised to have seed implant, as under microscope samples were quite high, is this normal,, thanks
How long shoud you wait for treatment with 3 plus 4
Thanks.
What if you have a 4+ 3 overall but also a large number of core samples with cancer as well as one core with a 4+4?
If prostate cancer is driven by the higher grade type - wouldn't the lower grade be ignored in a 3+4 scenario as well as a 4+3?
I have 4+3 & 3+4, I have undergone IMRT and six months ADT, now one year after ending the IMRT and nine months after ADT, PSA started rising gradually from lowest 0.03 to 0.72. New MP MRI and PSMA PET both turned negative. How high should the PSA rise at this point? Would the MP MRI and PSMA PET have missed something? What shall I do next? THANK YOU.
Good info. If the first number is the most common and the second number the next most common, how is 4+4 determined? Are there different kinds of 4 that fall on each side of the plus sign??
Think it is the same as a 3+3 or a 5+5. equal parts on both.
Thanks for the info, my Gleason was 7 and I was given both numbers. All cores were positive, starting PSA 48, I was 50 at diagnosis. I think I won round one, now to see how far out I can take round two before it starts.
stein shaw how you getting on my dad was recently diagnosed
@@florebenji6910 I've been doing well until last week. I was changed to checking PSA every 6 months about the same time as my last ADT finished. In Aug it was undetectable. My shot was gone end of Sept. End of Oct it was up to .1, last week my PSA was 2.7. Still less than 4 but I will do some follow up scans to see what is going on. Three years on ADT, the last year was rough. I don't look forward to it. Looking at going vegan, see the recent video on this page about sugar.
stein shaw can I just ask did you have the surgery to remove the prostate cancer? Because my dad PSA stands at 16.4, he’s Gleason score was 7 on group 3, so there’s two 4+3 plus one 3+4 it’s rather confusing
@@florebenji6910 my cancer had escaped the prostate so I was not a surgery candidate. I started ADT, let that work for a month, did 45 rounds of radiation, a month rest and then 6 rounds of docetaxel. I was supposed to go 2 to three years of ADT after the last radiation. I requested to stop because my working memory was gone and I'm still working full time. That last 6 month shot actually lasted 12 months so I was only about 3 months short of the 3 years. My numbers have been good so I didn't expect the rise. I was hoping round two would be a decade or two out, not months.
@@jdpatrick1106 I was not a surgery candidate because it had escaped the prostate, 45 rounds of radiation and 6 rounds of Docetaxel. I was on Lupron or Eligard for 3 years, was off for about 8 months and started back on Lupron a couple weeks ago. Going to start Zytiga next week.
Hello, thanks for the great channel and information given here. My father Bharat Singh age 68, weight 72kg, height 176 cm is diagnosed for 4+3=7 Gleason score prostate cancer that has spread to pelvic bones, nearby lymph nodes and lumber spine. I have watched your video about the treatment however it's two years old now. I wanted to understand if we have some new options in to treat this in these two years then please help me on that. Thank you so much.
How is your father???
@@glamup2013 He is on hormone therapy. Dr says that he can save him for 2 to 5 years only 😢
@Surya Singh May Allah give him good health and long life my father has also diagnosed prostate bone mets I m so worried I think i will die due to panic don't want to lose my father
Hello what is the difference betweeb prostate cancer and benign prostatic hyperplasia
Junielou,
Here are a few videos we have on BPH:
BPH (Enlarged Prostate) & Prostate Cancer - ua-cam.com/video/qYq3RFVMAdQ/v-deo.html
BPH Treatments Explained - ua-cam.com/video/6Yy_1T77wPg/v-deo.html
BPH Explained - ua-cam.com/video/FKI4n4g9j7s/v-deo.html
Thank you so much for the high-quality educational video series. I have learned so much and have recommended others about prostate cancer by watching your videos.
One question: Is there an area of concern about the return of cancer after radiology treatment? My doctor has mentioned that if cancer returns after radiology, the subsequent treatment would be very difficult. If this is true, what is the reason for not being able to remove the prostate after radiology treatment? Also, is the rate of return for cancer after radiology higher than surgery?
Salvage prostatectomy after radiation is extremely difficult and risky surgery! There are only a few surgeons who do it. The best known (as far as I'm aware) is Dr. R. Jeffrey Karnes at Mayo Clinic MN.
www.mayo.edu/research/faculty/karnes-r-jeffrey-m-d/bio-00027328
@@robprotz3218 Thanks so much, Rob. That's what I have been told too. I guess this is the main reason for my going for the surgery vs. the radiology.
You have to seriously consider possible secondary treatment options when addressing PC at a younger age. Radiation at a younger age does complicate follow up options should your PC return in the prostate area. Salvage surgery is not a great option in most cases. If outcomes and the possible need for follow up treatment of PC are equal then age on initial intervention is a big factor. For older PC patients radiation might be a better choice. In younger patients that might not be as true. Do your research and ask your doctors (yes... get a few opinions from different specialists) the right questions to pick the path that's right for you!
some doc's say high grade pin is no big deal
Do u mean that Prostate metastasis cancer can be cure at any stage?
Hello, our prostate cancer helpline may be able to help with your question. Please feel free to contact us here: pcri.org/helpline
This is good information, but having just had robotic radical prostatectomy it makes me realise he's not pro- surgery.... So you need to consider more than what he is just saying here with regards to goal therapies
I am 82 years old Diabetes CABG and undergone prostrate surgery in 2019 for benign prostate. Theron it came that I am having prostate cancer type2 Gscore 3 +4=7.Kindly guide me what should I do. Hope for guidance. I am from Delhi India.
Hello, our prostate cancer helpline may be able to help with your question. Please feel free to contact us here: pcri.org/helpline
People watching these videos dated before 12-1-2020 might make treatment decisions that don't recommend PSMA PET scans.
Are Docters suppose to declare to patience what type of Cancer they discern?0
It is common and good practice for your urologist or oncologist to explain the type of cancer that was discovered and the implications and options depending on the cancer's features and your individual situation and desires. This information (e.g Gleason Score, scan results, etc.) may also be available in your medical records, which are usually available online or can be requested, but your doctor should be explaining what it all means. If you have any questions about your case, feel free to contact our free helpline at pcri.org/helpline.
Stomach cancer