Does a Gleason Score of 8 mean they cannot operate

Has any one had a GS8 and it still be contained in the prostate, or is that reading a foregone conclusion to it already have escaped?

G8 can be contained but there are other considerations like disease volume, DRE results and PSA.  So without more information it's impossible to even guess if the cancer is contained in this particular case.

ed

 

I had G8 PC and had DaVinci surgery back if Feb 2009. My PSA prior to surgery was under 3.8. My biopsy showed 2 out of twelve cores with cancer. I did have EPE but negative margins. So far after over 3 years my PSA has remained <.01.

Picco, I was a G9, with organ contained disease. Negative margins, neg lymph, and neg sem ves. My psa was ~ 3.00 at the time of surgery. Most oncologists consider G8,9, & 10 to be essentially the same for treatment protocols.

PCa spreads three ways; 1. Via lymph system, 2. Via blood stream (systemic), and 3. By growth outside the capsule. if your guy is in otherwise good physical condition, then surgery should be an option....but that's a call by a good uro. Sounds like you need one.

When my uro gave me the results of my biopsy, he spent over 1 1/2 hours with my wife and I. He answered a ton of questions, and was very reassuring. He did my surgery 7 weeks later, and I was continent within a couple of weeks.

You and your guy are going to be okay. This is absolutely the best forum for guidance and answers to your questions. Particularly from John T, Tony, Fairwind, Goodlife, Sonny and 142. These guys really have a good handle on the best PCa treatments for a given pathology. At least consider their suggestions as you educate yourself. There are many others here who are also knowledgeable.

God Bless

K

It is very difficult with any Gleason grade of PC to know if it is still contained in the prostate without a surgery pathology. Bone scans can determine if there are any mets in the bones but can still be inconclusive. Even a G6 grade can escape the capsule and spread, but it is much rarer than with higher grades. A pathology report after surgery is the best way to determine if the tumor has spread and what the Gleason score actually is throughout the tumor. In some cases the Gleason is downgraded with the pathology report. As you have seen there are a lot of G8 & 9 guys here who had great outcomes with surgery and organ contained pathologies.

As you reported in another thread your URO was not helpful at all with his short 10 minute consult and as many here recommended you need to fire him. If your husbands GP says he is healthy enough for surgery he should be more on top of his condition and health than the URO. With the Australian health system you may have limitations on URO choices but that is another subject to deal with. We have several active Aussie members and hopefully they will connect with you for more advice.

Terry

Picco, it will help if you bring your husband's information over from the other thread.  Then putting it in your "signature" means you don't have to keep repeating it.  It also helps all those who want to answer your questions.  The treatment from that doctor was rude and abrupt.  Ron and I spoke to his urologist for more than a hour.  He answered all of our the questions.

An38 is from Sidney; I don't know if she would be helpful to you?  Prayers that your husband will get the treatment necessary for his road to recovery.  My thoughts are with you both!

Kathy, it is good to hear your husband is doing well!

Much peace of mind,

Aimzee