All tertiary scores needs to be addressed

New Topic Post Reply Printable Version
[ << Previous Thread | Next Thread >> ]

duke68
Regular Member


Date Joined Mar 2007
Total Posts : 242
   Posted 3/12/2011 11:37 AM (GMT -6)   
Hi,

New Patients in particular need to be advised of the prognosis effect any tertiary score has.

Even with a Gleason score <7.

If you have a tertiary 5 and a Gleason score = >7 you have an aggressive gleason 8 or 9.
If you have a 3+3=6 t4 it is a Gleason 7

I've seen postings by patients that think a pathology of 3+4 =7 t4 is better than a 4+4=G8

Patients need to know this when they make there treatment decisions.

Dana-Farber and other hospitals are updating all there records to show this

Recent article in Euro Today.

http://www.urotoday.com/index.php?option=com_jentlacontent&view=enhanced&id=42405&Itemid=57

Also search D'amico and google.

Best wishes to all
Gerry
age 68 diag. oct 2006 G8 T2b psa 11.7
4 of 8 cores 20% 30% 60% 100%
rrp dec 2006 G9 4+5 m+ sv+ ece after 6 weeks psa 0.6 second opinion Dana-Farber pT3b 4+4 + T5 = G9
Rt 35 sessions to lymph nodes and prostrate 4-2007
3/2007 cab 6 months lupron + casodex.
psa <0.1 from june 2007 to march 2010
psa 6/10 0.3 9/10 0.6 12/10 2.5 :(

Dana- Farber Phase 2 trial Avastin Lupron and casodex

daveshan
Regular Member


Date Joined Jan 2010
Total Posts : 363
   Posted 3/12/2011 3:58 PM (GMT -6)   
Yea, my Uro said my downgrade from G-9 to G-8 with tertiary 5 was nothing to get excited about. Good to see a bit of realism being brought to light.

BTW urotoday asked for a login when I cut and pasted the link.


www.urotoday.com/index.php?option=com_jentlacontent&view=enhanced&id=42405&Itemid=57
07-06 PSA 2.5
01-08 PSA 5.5
09-09 PSA 6.5
12-09 Biopsy, initial Gleason 9 (4+5) later reduced to 8 with tertiary 5
03-01-10 Age 55 RRP in Durango CO by Dr Sejal Quale and Dr Shandra Wilson
03-16-10 Path' G-8 (4+4+5) Bilateral involving 21% of left lobe, 3% of right lobe, SVI, Focal positive margin, pT3b NO MX

All PSA as of 1-25-11 <0.04

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 3/12/2011 4:17 PM (GMT -6)   
Very good point, will have to dig up my pathology report, I don't belive it was noted on my paperwork, but with my aggressive path so far, makes me wonder.
Age: 58, 56 dx, PSA: 7/07 5.8, 10/08 16.3
3rd Biopsy: 9/08 7 of 7 Positive, 40-90%, Gleason 4+3
open RP: 11/08, on catheters for 101 days
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos marg
Incont & ED: None
Post Surgery PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12, 4/8 .04, 8/6 .06 2/11 1.24
Latest: 6 Corr Surgeries to Bladder Neck, SP Catheter since 10/1/9, SRT 39 Sess/72 gy ended 11/09, 21 Catheters, Ileal Conduit Surgery 9/10,

duke68
Regular Member


Date Joined Mar 2007
Total Posts : 242
   Posted 3/12/2011 4:47 PM (GMT -6)   
Sorry about the link I've had a membership for a few years forgot about the log in.

It's free to become a member with e-mail updates.
You can select just Prostate cancer updates.
they will mail almost daily updates
They have the latest information on Prostate cancer.

Unfortunately till recently many path reports did not include tertiary grades.
Gerry
age 68 diag. oct 2006 G8 T2b psa 11.7
4 of 8 cores 20% 30% 60% 100%
rrp dec 2006 G9 4+5 m+ sv+ ece after 6 weeks psa 0.6 second opinion Dana-Farber pT3b 4+4 + T5 = G9
Rt 35 sessions to lymph nodes and prostrate 4-2007
3/2007 cab 6 months lupron + casodex.
psa <0.1 from june 2007 to march 2010
psa 6/10 0.3 9/10 0.6 12/10 2.5 :(

Dana- Farber Phase 2 trial Avastin Lupron and casodex

daveshan
Regular Member


Date Joined Jan 2010
Total Posts : 363
   Posted 3/12/2011 6:44 PM (GMT -6)   
Well I registered, not real good news for those of us with a 5 on our path report.
Dave in Durango CO

duke68
Regular Member


Date Joined Mar 2007
Total Posts : 242
   Posted 3/12/2011 7:17 PM (GMT -6)   
Yes I know it's very sobering information. I went the aggressive route.

Every one is unique in how they respond to treatment

Your psa went to undetectable after rrp mine didn't with detectable psa
I went with salvage within 3 months of rrp adt2 plus radiation to prostate and lymph nodes.

This gave me almost 3 years of no treatment with a good quality of life.
Now with bcr I'm on the trial with an undetectable psa. My oncologist says if i stay undetectable till end of trial (2 more months) with a psa every 3 weeks I will have an extended time off.
There are many treatments in the pipe line that will improve our situation in the future.
Gerry
age 68 diag. oct 2006 G8 T2b psa 11.7
4 of 8 cores 20% 30% 60% 100%
rrp dec 2006 G9 4+5 m+ sv+ ece after 6 weeks psa 0.6 second opinion Dana-Farber pT3b 4+4 + T5 = G9
Rt 35 sessions to lymph nodes and prostrate 4-2007
3/2007 cab 6 months lupron + casodex.
psa <0.1 from june 2007 to march 2010
psa 6/10 0.3 9/10 0.6 12/10 2.5 :(

Dana- Farber Phase 2 trial Avastin Lupron and casodex
New Topic Post Reply Printable Version
Forum Information
Currently it is Monday, June 18, 2018 5:40 AM (GMT -6)
There are a total of 2,972,714 posts in 326,008 threads.
View Active Threads


Who's Online
This forum has 160854 registered members. Please welcome our newest member, romanaromana.
330 Guest(s), 5 Registered Member(s) are currently online.  Details
JayMot, pasayten, compiler, Pratoman, Union98