Prostate Cancer Expert Forum
Does size of prostate tumor matter?
About This Forum:

This forum is for questions about: Advanced or Metastatic Prostate Cancer, Biopsy, Bone Scan, Blood in Urine or Semen, Benign Prostatic Hyperplasia (BPH), CT Scan, Cystoscopy, Erectile Dysfunction, Hormone Therapy, Incontinence, Pain (abdomen, low back or hip), PSA Test, Prostatitis , Radiation Therapy, Rectal Exam, Recurrent Cancer, Risk Factors, Screening, Staging (Tumor size; Metastasis), Surgery, Transrectal Ultrasound, Urinary Difficulty or Burning, Urinary Urgency (Leaking), Watchful Waiting.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
This expert forum is not accepting new questions. Please post your question in one of our medical support communities.
Avatar_universal
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?
Discussion is closed
Cancel
1 Answers
Page 1 of 1
242579_tn?1252114771
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

This forum is for information only. The contents, such as graphics, images, text, quoted information and all other materials ("Content") are provided for reference only, do not claim to be complete or exhaustive or to be applicable to any particular individual's medical condition. Users should always consult with a qualified and licensed physician or other medical care provider. Users are warned to follow the advice of their physicians without delay regardless of anything read in this forum. The Weill Cornell Prostate Cancer Institute assumes no duty to correct or update the Content nor to resolve or clarify any inconsistent information which may be a part of the Content. Reliance on any Content is solely at the User's risk. This forum may contain health or medically related materials considered sexually explicit. Users are warned that if they may be offended by such Content, an alternate source of information should be found. Publication of information or reference in forum to specific sources such as specific products, procedures, physicians, treatments, or diagnoses are for information only and are not endorsements of the Weill Cornell Prostate Cancer Institute.
Discussion is closed
Cancel
A
A
Blank
Weight Tracker
Weight Tracker
Start Tracking Now