I too, had a 4+3 gleason 7 before surgery, I was afraid it might be upgraded to a 8 or higher after surgery. It wasn't. The final pathology was a 3+4 gleason 7. Yes, they are both 7's, but the 3+4 is less agressive then a 4+3, because a 4+3 is made up of more type 4 cancer cells. My was supposedly contained fully, no evidence of escape anywhere. But have read enough, that with any gleason 7, you have to keep on guard and keep your eyes open. I have only had my 3 months psa, and it was good. I will be nervous as I wait for 6 mos, 9 mos, and 12 months. I will be much happier and relieved if I am still pulling a zero at year 2. This is the part of PC that I hate, there's often not a cut and dry "Im ok and nothing is going to happen" period.
David in SC
Age 56, 56 at DX, PSA 7/7 5.8, 7/8 12.3,9/8 14.5
3rd Biopsy Sept 08: Positive 7 of 7 cores, 40-90%, Gleason 7, 4+3
Open RP surgery 11/14/8, Right nerves spared, 4 days hospital, staples out 11/24/8, 5th cath out on 1/19/9
Post-surgery Pathlogy Report:Gleason 3+4=7, pT2c, 42 grm, tumor 20%, Contained in capsular, clear margins, clear lymph nodes
First PSA Post Surgery 2/9 .05, 6 month on 5/9