Hi Everyone, Hope everyone is doing well. Things are going better for me, I am almost completely in control of urinary control and feeling much better. I have a question about
Gleason scores that maybe I'm just missing something here:
If biopsy gleason was 8 and post-op Gleason is 9 does this mean the cancer was more aggressive then originally thought? If the prostate is now gone and all cancer is gone with it, what difference does the Gleason 9 make now? The radiation doc wants to give me radiation due to Gleason 9 and positive margins but I don't understand why he would be concerened with the Gleason after surgery? My 2 post-op PSA's have been 0.02 which makes me think all the cancer is gone. Why would a Gleason score make a difference after surgery? I assume they upgraded it to a 9 when they looked at the prostate under a microscope but with the prostate now gone why would they be concerned about the gleason score?
Sorry for the rambling, but I am seeing a oncologist this week who also reccomends radiation due to positive margins and Gleason 9 and I would just like to better understand what they are basing the need for radiation on.
Again Thanks for all of your help and support.
Rick (aka anniea)