I am 72 and was diagnosed with Gleason 3+3=6 nearly 2 years ago. I have seen videos in which it was explained that no one with a Gleason 6 has died of prostate cancer. I don't know if that is true, but it is reassuring for me at least.
OK, I got the “active surveillance” advice for my Gleason 6, I was 50 at the time. And I decided against it, thank god. I chose HIFU for treatment and through the course I found out I went from one tumor the size of a dime, to 2 tumors one the size of a nickel and the other as big as a quarter (found on MRI guided biopsy) in 6 months. And the doctors all said “that shouldn’t have happened, you don’t have small cell carcinoma”. The doctor that I was referred to for HIFU told me that had I waited I might have metastasized in a year, while no one could explain it that didn’t change the fact that my cancer had more then doubled in 6 months. Cancer free now for 12 years.
I was just diagnosed with adenocarcinoma of prostate, gleason score 3+3=6 in 1(grade group 1) tumor involves 1 of 2 core(s) and approximately 5% .. Is this bad? Im 54 yrs old....
I am 51 years old diagnosed with gleason 6 (3+3). MRI Pi Rads 4 10x11 mm. PSA 5.33 ng/ml. Biopsy with 14 samples and 5 cores (0,4 cm to 1 cm) targeted to the lesion (3 positives & 2 negatives). Core with the greatest impact is 60%. 35% tumor involvement of all the material sent. Rest of prostate without evidence of malignancy. I'm really terrified not knowing what to do.
Does fluctuating PSA mean anything? My PSA has been at 8.2 for a year. I just had a PSA test after 6 months and it was down to 5.5. I did start taking a Lycopene supplement along with C, D, K, E and Zinc daily. Nice to have the number decrease for a change. Currently Gleason 6 and continuing active surveillance with check ups at 6 month intervals.
Third year in row biopsies. Gleason 6 psa 1.4 . Psa every 3 months . Mri every year. Low cgrade cancer that is by gene very low grade. Why all this testing every year is alittle over doing it. Father had it but low grade treatment with seed. Why every year all of these test with Gleason 6.
How does one approach gleason 6 if something like the Decipher test indicates "high risk"? That is, a greater chance that something bad will develop down the road.
I had a long roller coaster ride starting in August 2023. Family doc took blood for PSA and it was 5.0, up from 3.2 the year before. Sent to Urologist. Took 2 months to get in. Another PSA still high at 5.0. Sent for 3T MRI in October 2023. Results showed a Pirads 5 lesion: 1.9cm. Off to UNC for biopsy in January and results came back. 13 cores, 1 out of 4 in the target area showed a 2mm malignancy; 0.078 inches. All other cores benign. 3+3 Gleason 6. Just had my oncology appointment and I’m now on Active Surveillance. A lot of worrying
Do not worry.Read a book of Robert Marckini.Great testimonial.Loma Linda Medical Center.Proton therapy.Good luck.Hope this help you decide…Thank me later.
I am in the same boat as you Gleason 6 PSA 4.9 Under active surveillance. I worry alot also but it doesn't do any good. Let's enjoy life good luck my friend.
I’m 45, Pirads 5, Gleason 6 confirmed by 2 targeted in-bore biopsies. Genetic tests are ok, no cancer in family. PSA density is 0.11. PSA 4.8 not sure what to do, every doctor says something else. One says RP, second brachy or Tulsa Pro or AS, third LINAC MRI-guided radiation, fourth is looking into if I am a good fit for Nano-knife. Not fun. I did not expect this.
Get as many opinions you can from experts in the field. I assume the reason they are recommending treatment is because of your age. Ask about focal treatments and consider aggressive lifestyle adjustments like exercise and diet. I talk about it quite a bit. Good luck.
Diagnosed with Gleason 6 eight years ago. My urologist told me me biopsy was negative. I was very ignorant and forgot about until recently. Im in the process of reevaluating the situation. PSA has risen. I probably had the 6 years before it was discovered. Only symptoms are frequent urination.im 70. Im a Gleason 7 now. 4+3
At 70 yo, it is hard to decide what to do with a Gleason 4+3 score. IMO, it depends on the size of the lesions found on your MRI, where are they located, and how fast the PSA level rising. If it only doubled or a bit more than doubled what you have had, I would not treat it. It looks like the cancer grow quite slow based on the little info u shared and if itis true then you will die with PCa, not bc of it, therefore treatment is not necessary.
I'm 72 and have had growing PSA levels over the last few years. Currently 5.56. I just got an MRI a few days ago but won't see my doctor for nearly a month from now for the results. I've been watching a lot of these discussions between doctors and other experts this past week. Depending on what the results are, I will try to make the best treatment plan possible, if any. I'm divorced but can still have sex if I so desire. My symptoms of an enlarged prostate have only been mild to moderate difficulty urinating and an enlarged prostate with elevated PSA levels. The only medicine I take for it is a generic form of Cialis, which is a viable treatment to help with urination. If at all possible, I will advocate to leave my prostate in place to avoid most of the pitfalls of having it removed. I'm putting the cart before the horse I know, but I'm trying to educate myself to make an informed decision that will affect the quality of my life for as long as I live. If I'm to have a biopsy, the results will be a determining factor on treatment options such as radiation, etc., if any.
I have recently been diagnosed with prostate cancer like yesterday morning and I'm a Level 1 or a 3+3=6 Gleason score! My Urologist wh I like suggested me to monitor with blood tests every couple of months etc..maybe an MRI in 12 or 18 months and possibly another biopsy within 3 years 2hich I guess which woukd depend upon the blood tests! Some of things mentioned in this podcast I didn't understand like 'free Psa' tests and some other terms ! Now I'm kind of wondering if I should double check with my Urologist to make sure the Gleason score was accurate which I assume it must be
Free PSA/Total PSA ratio is a guess work that aids in the decision to do the biopsy or not. Now you have done it, with a Gleason 6, there is no need for a free PSA/total PSA ratio test anymore. All the other blood tests mentioned here don't really make a difference in your life expectancy and may cause more h@rm than not, just like whar Dr Eggerner said. Stick with what your doc recommended, his suggestion sounds good.
Free PSA/Total PSA ratio is a guess work that aids in the decision to do the biopsy or not. Now you have done it, with a Gleason 6, there is no need for a free PSA/total PSA ratio test anymore.
All the other blood tests mentioned here don't really make a difference in your life expectancy and may cause more h@rm than not, just like what Dr Eggerner said. Stick with what your doctor recommended, his suggestion sounds good.
All the other tests mentioned here don't really make a difference in your life expectancy and may cause more h@rm than not, just like whar Dr Eggerner said. Stick with what your doc recommended, his suggestion sounds good.
Totally agree with Dr E. You should never hang your hat on a bx result. Clinicians and patients should consider all the factors including imaging, PSA, density, ratios, tumor volumes and even consider second bx regarding risk stratification. Using molecular signature to call cancer is also risky because only biological behavior really matters. Some begin tumors have same molecular signatures as malignant ones. The discussion can keep on and on but the burden should not be on one person or one test
@@ricke95126 I didn’t have any incontinence problems but I did have ED. I tried most of the usual remedies… pills, injections, vacuum pump and ultimately decided on implant surgery which i had done last summer. It’s amazing, absolutely no regrets.
@@marcandrechiffert6739 Unfortunately my psa started rising again a few months after surgery and I ended up doing radiation and adt. I’m in the wait and see phase now. Good luck with your treatment.
hi brother I under went radical prostatectomy biopsy showed Gleason 7 4+3 no metastasis by pet scan but only extend to left nerve just suspicious but surgeon removed it and spare the right my question is if it is possible to cure and get back erection Thanks sir
Diagnosed two years ago with 3 of 5 cores showing cancer. Largest of 3 was 3mm. Gleason 3+3. MRI T3 scan showed no lesion. P-Rads 1. Doc wanted to do another biopsy but after MRI, I asked to put it off for 6-months. Last biopsy, the genome lab the samples were sent to couldn’t test them. I think the samples were lost. I never learned if the samples showed typical or aggressive cancer so I am leaning toward another biopsy. I continue to research pros and cons of biopsies. Recovery from first one was unpleasant and longer than anticipated. PSA has been holding around 8 - 8.3. I will have next PSA in 2 weeks. Wondering if I should go ahead with another biopsy so I can obtain the genome lab results? I turn 61 in a week.
Привет! Есть данные, что скорость роста ПСА удваивается после каждой биопсии! Зачем постоянно травмировать простату, только , чтобы посмотреть на результаты?
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I am 72 and was diagnosed with Gleason 3+3=6 nearly 2 years ago. I have seen videos in which it was explained that no one with a Gleason 6 has died of prostate cancer. I don't know if that is true, but it is reassuring for me at least.
OK, I got the “active surveillance” advice for my Gleason 6, I was 50 at the time. And I decided against it, thank god. I chose HIFU for treatment and through the course I found out I went from one tumor the size of a dime, to 2 tumors one the size of a nickel and the other as big as a quarter (found on MRI guided biopsy) in 6 months. And the doctors all said “that shouldn’t have happened, you don’t have small cell carcinoma”.
The doctor that I was referred to for HIFU told me that had I waited I might have metastasized in a year, while no one could explain it that didn’t change the fact that my cancer had more then doubled in 6 months. Cancer free now for 12 years.
I was just diagnosed with adenocarcinoma of prostate, gleason score 3+3=6 in 1(grade group 1) tumor involves 1 of 2 core(s) and approximately 5% .. Is this bad? Im 54 yrs old....
This was a great information. Thank you
Glad you enjoyed it!
Thank you for these videos. ❤
What about men Gleason 6 and PSA 1.2..
I am 51 years old diagnosed with gleason 6 (3+3). MRI Pi Rads 4 10x11 mm. PSA 5.33 ng/ml.
Biopsy with 14 samples and 5 cores (0,4 cm to 1 cm) targeted to the lesion (3 positives & 2 negatives). Core with the greatest impact is 60%. 35% tumor involvement of all the material sent. Rest of prostate without evidence of malignancy. I'm really terrified not knowing what to do.
Does fluctuating PSA mean anything? My PSA has been at 8.2 for a year. I just had a PSA test after 6 months and it was down to 5.5. I did start taking a Lycopene supplement along with C, D, K, E and Zinc daily. Nice to have the number decrease for a change.
Currently Gleason 6 and continuing active surveillance with check ups at 6 month intervals.
i wish ye would make your minds up on this ,there are some of us that are effected money and insurance wise over this
Third year in row biopsies. Gleason 6 psa 1.4 . Psa every 3 months . Mri every year. Low cgrade cancer that is by gene very low grade. Why all this testing every year is alittle over doing it. Father had it but low grade treatment with seed. Why every year all of these test with Gleason 6.
Age 73 and exercise 5 times and an athlete.
What is the difference between Gleeson Score and PSA ?
How does one approach gleason 6 if something like the Decipher test indicates "high risk"? That is, a greater chance that something bad will develop down the road.
I had a long roller coaster ride starting in August 2023. Family doc took blood for PSA and it was 5.0, up from 3.2 the year before.
Sent to Urologist. Took 2 months to get in. Another PSA still high at 5.0.
Sent for 3T MRI in October 2023.
Results showed a Pirads 5 lesion: 1.9cm.
Off to UNC for biopsy in January and results came back.
13 cores, 1 out of 4 in the target area showed a 2mm malignancy; 0.078 inches. All other cores benign.
3+3 Gleason 6.
Just had my oncology appointment and I’m now on Active Surveillance.
A lot of worrying
Do not worry.Read a book of Robert Marckini.Great testimonial.Loma Linda Medical Center.Proton therapy.Good luck.Hope this help you decide…Thank me later.
I am in the same boat as you Gleason 6 PSA 4.9 Under active surveillance. I worry alot also but it doesn't do any good. Let's enjoy life good luck my friend.
what about Gleason 3+3=6 and the tumor is 0.1 cm and PSA of 1.8 and I am 55 years old?
Can relate to your diagnosis! Hang tight, live well🙏
Call it whatever you want but eventually it will progress to cancer stage.
I’m 45, Pirads 5, Gleason 6 confirmed by 2 targeted in-bore biopsies. Genetic tests are ok, no cancer in family. PSA density is 0.11. PSA 4.8 not sure what to do, every doctor says something else. One says RP, second brachy or Tulsa Pro or AS, third LINAC MRI-guided radiation, fourth is looking into if I am a good fit for Nano-knife. Not fun. I did not expect this.
Get as many opinions you can from experts in the field. I assume the reason they are recommending treatment is because of your age. Ask about focal treatments and consider aggressive lifestyle adjustments like exercise and diet. I talk about it quite a bit. Good luck.
@@DrGeoProstatePodcast👍🙂
@89 itis Please read a book of Robert Marckini.Great testimonial.Proton therapy.Loma Linda Medical Center.Hope this will help you.Thank me latter
@@Nick-o5fI checked out the website and signed up. Will certainly research this. Might be a great option.
Diagnosed with Gleason 6 eight years ago. My urologist told me me biopsy was negative. I was very ignorant and forgot about until recently. Im in the process of reevaluating the situation. PSA has risen. I probably had the 6 years before it was discovered. Only symptoms are frequent urination.im 70. Im a Gleason 7 now. 4+3
At 70 yo, it is hard to decide what to do with a Gleason 4+3 score. IMO, it depends on the size of the lesions found on your MRI, where are they located, and how fast the PSA level rising. If it only doubled or a bit more than doubled what you have had, I would not treat it. It looks like the cancer grow quite slow based on the little info u shared and if itis true then you will die with PCa, not bc of it, therefore treatment is not necessary.
I'm 72 and have had growing PSA levels over the last few years. Currently 5.56. I just got an MRI a few days ago but won't see my doctor for nearly a month from now for the results. I've been watching a lot of these discussions between doctors and other experts this past week. Depending on what the results are, I will try to make the best treatment plan possible, if any. I'm divorced but can still have sex if I so desire. My symptoms of an enlarged prostate have only been mild to moderate difficulty urinating and an enlarged prostate with elevated PSA levels. The only medicine I take for it is a generic form of Cialis, which is a viable treatment to help with urination. If at all possible, I will advocate to leave my prostate in place to avoid most of the pitfalls of having it removed. I'm putting the cart before the horse I know, but I'm trying to educate myself to make an informed decision that will affect the quality of my life for as long as I live. If I'm to have a biopsy, the results will be a determining factor on treatment options such as radiation, etc., if any.
I have recently been diagnosed with prostate cancer like yesterday morning and I'm a Level 1 or a 3+3=6 Gleason score! My Urologist wh I like suggested me to monitor with blood tests every couple of months etc..maybe an MRI in 12 or 18 months and possibly another biopsy within 3 years 2hich I guess which woukd depend upon the blood tests! Some of things mentioned in this podcast I didn't understand like 'free Psa' tests and some other terms ! Now I'm kind of wondering if I should double check with my Urologist to make sure the Gleason score was accurate which I assume it must be
Free PSA/Total PSA ratio is a guess work that aids in the decision to do the biopsy or not. Now you have done it, with a Gleason 6, there is no need for a free PSA/total PSA ratio test anymore. All the other blood tests mentioned here don't really make a difference in your life expectancy and may cause more h@rm than not, just like whar Dr Eggerner said. Stick with what your doc recommended, his suggestion sounds good.
Free PSA/Total PSA ratio is a guess work that aids in the decision to do the biopsy or not. Now you have done it, with a Gleason 6, there is no need for a free PSA/total PSA ratio test anymore.
All the other blood tests mentioned here don't really make a difference in your life expectancy and may cause more h@rm than not, just like what Dr Eggerner said.
Stick with what your doctor recommended, his suggestion sounds good.
All the other tests mentioned here don't really make a difference in your life expectancy and may cause more h@rm than not, just like whar Dr Eggerner said. Stick with what your doc recommended, his suggestion sounds good.
I was just diagnosed with Gleason 6 prostate cancer. I DONT KNOW WHAT TO DO. Gleason 6 might metastasized so what to do?
Dr Eggener, you gave him DrGEO a copy of materials you give your patients, Dr. Geo. Can I get that ?
What are you defining as a huge (large) lesion. Is .7cm large or small or medium. MRI grade 3 wo contrast/grade 4 with contrast
Very informative episode. Thanks.
Totally agree with Dr E. You should never hang your hat on a bx result. Clinicians and patients should consider all the factors including imaging, PSA, density, ratios, tumor volumes and even consider second bx regarding risk stratification. Using molecular signature to call cancer is also risky because only biological behavior really matters. Some begin tumors have same molecular signatures as malignant ones. The discussion can keep on and on but the burden should not be on one person or one test
Dr Eggener did my prostatectomy 2 years ago, he’s a great doctor. Gleason 4+3.
I hope you are doing well. Do you have issues with ED or incontinence
@@ricke95126 I didn’t have any incontinence problems but I did have ED. I tried most of the usual remedies… pills, injections, vacuum pump and ultimately decided on implant surgery which i had done last summer. It’s amazing, absolutely no regrets.
How do you feel now about having had the prostatectomy? I'm opting for radiation
@@marcandrechiffert6739 Unfortunately my psa started rising again a few months after surgery and I ended up doing radiation and adt. I’m in the wait and see phase now. Good luck with your treatment.
@@marcandrechiffert6739All variables aside, ask about the possibility of radiation leading to another cancer in a few years.
What about Gleason 3+4=7 ?
A great vid......
hi brother
I under went radical prostatectomy biopsy showed Gleason 7 4+3 no metastasis by pet scan but only extend to left nerve just suspicious but surgeon removed it and spare the right
my question is if it is possible to cure and get back erection
Thanks sir
Eggener mentions he passes out info from Dr Geo to all patients. How do we get that info?
Is hifu used to treat 3plus 3?
Diagnosed two years ago with 3 of 5 cores showing cancer. Largest of 3 was 3mm. Gleason 3+3.
MRI T3 scan showed no lesion. P-Rads 1. Doc wanted to do another biopsy but after MRI, I asked to put it off for 6-months. Last biopsy, the genome lab the samples were sent to couldn’t test them. I think the samples were lost. I never learned if the samples showed typical or aggressive cancer so I am leaning toward another biopsy. I continue to research pros and cons of biopsies. Recovery from first one was unpleasant and longer than anticipated. PSA has been holding around 8 - 8.3. I will have next PSA in 2 weeks. Wondering if I should go ahead with another biopsy so I can obtain the genome lab results? I turn 61 in a week.
Привет! Есть данные, что скорость роста ПСА удваивается после каждой биопсии!
Зачем постоянно травмировать простату, только , чтобы посмотреть на результаты?
@@МТС-ц2юThank you for the comment.
Thanks
Welcome
Thanks for such a useful informatios.