Curious - anyone get DX under age 50 w/Gleason score of 6 or lower?

[VisualDeadlock]

Seems if you’re under 50 and get diagnosed, it always seems to be the aggressive type. I’m 42 with ASAP and wondering what my chances are.

[Tjc1]

Im no doctor but a Gleason of 6 is rarely fatal. You will be around for a long long time.

[VisualDeadlock in reply to Tjc1]

Yeah I mean, if you’re under 50, typically you seem to get a Gleason of 7 or higher

[Tjc1 in reply to VisualDeadlock]

I was 52 that was over 7 years ago. I just went Mcrpc. Just another phase.

[Tall_Allen]

It's actually the other way around... men who are diagnosed at later ages generally have more virulent disease. There are rare types that do strike younger men, but they are the exception rather than the rule.

ASAP is NOT a diagnosis of prostate cancer - it just means you should have another biopsy within a year.

[Emak1]

I was Dx at 42 with GL6. But after rising PSA did an image guided biopsy and found GL7 (3+4). Had RP at 43. Now finishing SRT at 45

[BillNIttles]

So, I was diagnosed in 2010 at 44 with 3+4. I had a RP, and when my prostate was biopsied my gleason was downgraded to 3+3 6. Even with a 6, I had reoccurance, and radiation in 2012, followed by reoccurance. At some point, it got more aggressive. I went from my psa doubling every 9 months, to tripling in 7 months. I started adt and got chemo in 2016, have been psa and tumor free since September of that year. Stopped lupron last December, and I feel good and my oncologist is happy with the way things look. You asked a good question, but in the end you can't predict anything. I wish I had waited at least 6 months and gotten another biopsy. Take your time.

[FCoffey]

Not me, but one man I know was diagnosed in his mid-40s, Gleason 2+2=4. His uro insisted that this was an extreme emergency and an immediate RP was required.

I met him after his RP, he was extremely unhappy.