Your perspectives or experience?
I thought my decreasing PSA the past several months on Abiraterone (Zytiga) and Firmagon was moderately encouraging.
But MO says I’m not responding well to ADT because 90% of patients like me would have PSA go down much quicker on Abiraterone and Firmagon. So Rather than rolling over to Apalutamide in 2 months, we’ll likely instead stop ADT, watch for recurrence, then likely go to chemotherapy with taxotere a few months down the road.
And I’m now “Grade 5” in the new Gleason system. High Grade Prostate Cancer.
Make sense? Options?
Can you elaborate on your statement, "And I’m now “Grade 5” in the new Gleason system High Grade Prostate Cancer?"
What "new Gleason system?" Did I miss something significant that happened in the Gleason scoring world? Thanks.
Who and where is your MO?
Hey, Jeff... he means "grade GROUP 5" as follows:
Grade group 1: Gleason score 6 or lower (low-grade cancer)
Grade group 2: Gleason score 3 + 4 = 7 (medium-grade cancer)
Grade group 3: Gleason score 4 + 3 = 7 (medium-grade cancer)
Grade group 4: Gleason score 8 (high-grade cancer)
Grade group 5: Gleason score 9 to 10 (high-grade cancer)
Thanks for the Grade GROUP clarification!
Technically, I think you are correct in just using the term "grade" but then it more easily gets confused with "score." But... nobody here with Gleason SCORE of 5, I'm pretty sure.That's a bummer to go from a 7 to a 9. Good luck!
Thanks for the update🙏👍