It would be 3+4 with a whole lot of 3 and a very little bit of 4.
The grading is that the Primary grade is generally more than 50% of the tumor, the secondary grade is from 5-50% of the tumor, and the Tertiary is the remainder grade, if found. If you are 3+3 that means that 100% of the cancer found in that core is 3. Not all men have a tertiary grade. I did not have a tertiary grade.
Generally most doctors will treat to the highest grade found. I had much more 3 than 4, but I was treated as if it was all 4. If you have just one 4+3, that trumps all the 3+3 you might have.
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 and Jalyn started on 10-7-2010. IMRT to prostate and lymph nodes started on 11-8-2010, HDR Brachytherapy December 6 and 13, 2010.
PSA < .1 and Testosterone less than 3 since February 2011
Post Edited (JNF) : 5/21/2013 8:49:21 AM (GMT-6)