Thanks John, that makes sense.
The whole Gleason system appears to be somewhat variable as it is not as clear cut as we patients would like. My docs all said we treat it as if it were a bit worse than it is showing in the biopsy, scans, DRE, etc.
This is in lline with Meyers , who contends that the cancer is usually worse than the diagnostics are showing, thus his more aggressive approach.
PSA 59 on 8-26-2010 age 60. Biopsy 9-8-2010 12/12 positive, 20-80% involved, PNI in 3 cores, G 3+3,3+4,and 4+3=G7, T2b.
Eligard shot and daily Jalyn started on 10-7-2010.
IMRT to prostate and lymph nodes 25 fractions started on 11-8-2010, HDR Brachytherapy 12-6 and 13-2010.
PSA <.1 and T 23 on 2-3-2011.