Dave, most surgeons would typically say that, and even in Walsh's famous book "Surviving Prostate Cancer" the term is played down.
It just shows, and its often preached on this forumn, why a newly dx. person needs to get several opinions, not just from a surgeon, but also from radiation oncologists, and as JohnT will often state, even a prostate oncologist, though appearently there are too many of them to go around. A good radiation oncologist will have a different perspective on the technical merits of different kinds of cancers.
David in SC
PS Just for the record, after my 3rd and final biopsy a year ago this month, my uro/surgeon did not play down the significence of it, he said it concerned him in the biopsy report, since at that time, I was noted as being a Gleason 7 (4+3 pre surgery) with a PSA above 12.0 and climbing quickly.
57, 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
Pathlogy Report:Gleason 3+4=7, pT2c, 42 grm, tumor 20%, Contained in capsule, one post. margin, clear lymph nodes
2009 PSA 2/9 .05, 5/9 .10, 6/9 .11, 8/9 .16
Lastest 7/13 met with Rad. Oncl, considering options, 7/20 Catheter #6 after complete blockage, 8/14 met with Rad Oncl, 8/18 - laser scope surgery to clear blockage, now on Cath #7, 8/26 - cath removed