David said:
"With all this back and forth on Gleason 6, upgrades to Gleason 7 after surgery, to me, unless I am missing something here, is simple to explain. When they have your entire prostate on the table, they got the whole thing to test. I still feel, that's a warranted advantage to having surgery."
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You missed my point. I fully understand how Gleason scores change before and after RP. That is not my point at all.
My surgeon said the same thing as your RO. He stated that if my cancer returns that because of the grade 4 cells it will be aggressive.
This means the Gleason Sum of prostate cancer is seriously flawed. And it is quite logically so. This time remember that all three examples I gave are post RP. Go back and look at my example three patients and tell me using common sense which patient you think should be considered the highest risk...
And which one has the least risk?
Tony
Post Edited (TC-LasVegas) : 9/15/2010 12:06:28 AM (GMT-6)