So I go from 9 to 5? They both suck. And us 9s don't have the "comfort" of knowing it could have been worse!
True! The only consolation I had as a G9 5+4, is it's about
as bad as it can be, so we'll do all we can do. Not much angst about
"whether to treat" or "how aggressively to treat". As our buddy SteelGuy has said, "Blowtorch and pliers! Whatever it takes!".
Somewhat selfishly, I like a simple aspect of the 5 Grade system. It's just that it pulls the G9-10 as a distinct risk group, and maybe studies would begin reporting treatment effectiveness for that specific group. Secondly, separating the G7 into two grades seems helpful, though simply explaining to guys the difference between a 3+4 or a 4+3 is likely to be just as good.
It may be almost insurmountable attempting to change this scale, when there are hundred (thousands?) of studies all based on the old system. It's almost like getting the US to change from English to Metric!
Bx: 6 of 12 pos, G9=5+4 (80%, 60%), 4+5 (2 at 100%, 80%, 10%), PNI+
cT3a (3T MRI: Bilateral EPE, NVB+, SV-, LN-)
Date PSA fPSA
9/12 4.1 15%
3/13 5.2 12% PCA3=31
IGRT by IMRT, 44 done 8/28/13: 50.4 Gy pelvic nodes, 79.2 Gy prostate
ADT2 3 yrs: Lupron/Casodex 5/1/13
Post: (age now 57)
<0.1 PSA (w/ADT2): 8/13, 11/13, 2/14, 5/14, 10/14, 11/14, 3/15, 7/27
Post Edited (Redwing57) : 1/10/2016 6:40:36 AM (GMT-7)