Hello there Mitch is my name. I wondered how to determine the Gleason score as I have readings of 7-10. Do we average it?
Help with Gleason scores: Hello there... - Advanced Prostate...
The gleason score should read with two numbers such as 3+4 which is 7 Or a (4,3) which is also a seven but with the higher grade 4 first it would be considered the breaking point for high risk. The highest most aggressive Gleason is 10.It should be on the biopsy report. a 7 to 10 is a broad range , and should be clarified. You can request that the specimen (which whoever did the biopsy has in wax) be sent for expert review to John Epstien at Jons Hopkins hospital for an expert review, The Gleason score is very important.
You probably would want to find a really good medical oncologist, preferably a genitourinary medical oncologist (one who specializes in prostate cancer). Don't know where you live, but seek out top doctors, preferably at a Center of Excellence. The level of disease you have is beyond what a urologist should be treating. That is what I would do, and what I in fact did, and so far it has saved my life.