new Member, Gleason Score question

[Life60]

Im 59, Diagnosed late March 2019.

12 cores taken, 5 of them are 10s. 2 Benign, 3=8, 2=7

So how do those results equate to a 10 Gleason score when it computes to 7.33 including the 2 Benign or 8.8 if you toss out the 2 Benign ?

[GP24]

You just take the Gleason score of the probe with the highest score. So in your case it is ten since you have five probes with a Gleason score of ten.

Next will be a CT and a bone scan to see if there are bone mets. I would say it is rare when there are no bone mets if you have a Gleason 10.

[Life60 in reply to GP24]

Thanks GP24. i had the Bone Scan, it was clear ( Only good news in all this so far). PSA 37 G10 and I had a 3month Lupron Shot 1 week ago. MRI showed PCa extended to seminal vesicles so No Surgery. CT scan in a couple days. Radiation to begin Next Month.

[GP24 in reply to Life60]

When surgery is done they remove the seminal vesicles, so I do not understand the argument. But radiation plus brachy boost may be a better therapy:

pcnrv.blogspot.com/2018/03/...

[Life60 in reply to GP24]

Thank you for the Article, Very informative, although not an easy read for a newbie like me, but I will STUDY the terminology.

[GP24 in reply to Life60]

If you have been reading this stuff for years you forget that patients diagnosed two months ago will not be able to understand this.

Bottom line: ask your radiologist if he can add brachy boost to the radiation. If he can offer brachy he will do so, if not he will tell you not to worry about this. In the latter case contact a clinic which offers brachytherapy and ask them if they can add the boost after your currently planned radiation has been done. Only a few clinics offer HDR brachytherapy.

[Life60 in reply to GP24]

THANKS ! for the Layman Translation. I understand what to do now.