Prostate Cancer Expert Forum
Does size of prostate tumor matter?
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Does size of prostate tumor matter?

I have a Gleason score of 6, with only one core of the biopsy showing cancer.  However, a follow up ultrasound showed the tumor was 9mm in size.  The urologist was surprised it was that large.

Should I be more concerned about the possiblity of the cancer spreading outside the prostate with a tumor that size?  Does it affect my treatment choices or potential outcomes?
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Thank you for your question. The prognostic variables in large cohort studies that have been able to predict oncologic aggressiveness are 1) biopsy Gleason sum 2) pre-treatment PSA 3) number of biopsy cores positive 4) tumor volume on biopsy.

TRUS (trans rectal ultrasound) is often a very insensitive way in detecting prostate cancer. This is why biopsies are taken concurrently. In short, one variable may not tell the entire story when it comes to disease aggressiveness.

Please check your private messages. Thanks.

Sincerely,

Ashutosh (Ash) Tewari, MD

http://www.cornellroboticprostate.org

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