good news is that his PSA is still relatively low and gleason 7 --whether 3+4 or 4+3 -- is still a moderately agressive cancer. 3+4 is typically said to be close to 3+3 and therefore not as agressive as 4+3 which is closer to a 4+4 and categorized with more aggressive cancer. either way, treatment will be recommended and likely surgery. do you homework though. there are numerous options for both surgery (
open/DaVinci) and radiation (Proton Therapy, Brachyatherapy-see implants, IMRT, etc.). each has pros and cons and each needs to be evaluated relative to your specific situation. be proactive, but take the time you require to make the right decision for the two of you.
and talk to people and ask them about
their experience with treatment. you will find that EVERYONE will be willing to talk to you. this site is a great place to meet people with prostate cancer, but you will also find that many people you know will know someone. i talked to many people before choosing my treatment option.
know that you are not alone in your concerns, fears and hopes for beating this. and you'll find much encouragement along the way.
Gleason scores from 4 pathologies of the same biopsy with 2 of 12 cores positive for cancer (if this isn't confusing to the patient...):
1) both cores 3+4 (Weiss Memorial)
2) one 3+4 and one 3+3 (Univ. of Chicago Hosp.)
3) both cores 3+3 (Mass General Hosp.)
4) both cores 3+4 (Northwestern Memorial Hosp.)
9/17/07 - Radical Retropubic Prostatectomy Surgery at Northwestern Memorial in Chicago by Dr. William Catalona.
and the winner is...post op Gleason score of 3+4.
Good pathology report with negative margins, no seminal vesicale involvement, no lymphatic or vascular invasion, bladder and urethral free and tumor volume was 5% of 27.3g. Amazing how something so small can cause such problems!
9/27/07 - Catheter removal...let the games begin...