Gleason score of 9 PSA 30

My brother is 48 years old who was just diagnosed with prostate CA. His father passed away from prostate CA. His scores are as follows: PSA 30 Gleason 9. All research indicates the prognosis is not good. He will be having a radical prostatectomy with lymphnode disection followed by radiation and harmone therapy. I was told the likelyhood he will servive this is slim. Any other treatment suggession?

[Ash Tewari, MD, M.Ch.]

Thank you for your question. Use of PSA and Gleason score alone are a bit dubious for long term prognosis. Biopsy information would be helpful.

Some useful links to predict the severity of disease are as follows:

The Prostate Calculator: http://www.prostatecalculator.org/
Partin Tables: http://urology.jhu.edu/prostate/partintables.php
Kattan Nomogram: http://www.mskcc.org/applications/nomograms/prostate/

Ashutosh (Ash) K. Tewari, MD
www.cornellroboticprostate.org

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[purelife53]

You say he wont survive this? Where did you hear that? In a bar? Casino? He might outlive you dude. Talk to real medical people before you......

[ColtDucksnort]

A gleason score that high is not good news.


Good luck to your brother and your family.

[purelife53]

I hope a real doc comments on Ratta68's post. Although a gleason score of 9 is high, it is by no means not treatable....Believe it or not there are many cancer patients that wish they had what ratta's bro has. We wish him well!