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Prostate Cancer (Expert Forum)
Gleason score of 9 PSA 30
Answered by
Ash Tewari, MD, M.Ch. - Prostate Cancer, Robotic Prostatectomy, Urology, Oncology, Surgery
Lefrak Institute for Robotic Surgery and Prostate Cancer
New York - NY
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.
Gleason score of 9 PSA 30
by ratta68, Jul 28, 2009 09:03AM
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?
Doctor's Answer
by Ash Tewari, MD, M.Ch., Jul 31, 2009 08:12AM
, Jul 31, 2009 08:12AMTo: ratta68
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
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.
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
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.
Good luck to your brother and your family.