Gleason 9 - Question of Stage

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New Member

Date Joined Jun 2006
Total Posts : 17
   Posted 11/16/2007 3:51 PM (GMT -6)   
My husband was diag. with an orginal PSA of 31 and a Gleason grade 9 in 2005. He was told he is considered T1C. He was told that surgery was not an option for him because of the high PSA and high Gleason. His choice for treatment was radiation and Viadur implant. All bone scans, etc were clear when he was orginally tested. His PSA has dropped to .01. However, I have read that you need to know what stage your cancer is and that this is very important. My question is since he did not have surgery - does anyone have any idea what stage his cancer would be considered or can a stage only be determined with surgery?
Husband's original PSA 32 in 2005
cancer in 6 out of 12 samples - Gleason 9
Radiation / Hormone Implant since Dec 2005
Last PSA 4/07 - .08

Veteran Member

Date Joined Oct 2006
Total Posts : 626
   Posted 11/16/2007 6:20 PM (GMT -6)   

Stage T1c means that his DRE(Digital Rectal Exam) did not indicate any bumps and nodules(T1 is the indication) and the cancer was found due to his PSA(c is the indication). Without another pathological examination(which you will not have with radiation) there will be no other staging done. With his very low PSA it appears the radiaition has worked successfully. There are calculators that have been developed by several of the well known medical centers that provide statistical information. One of these is one developed by Memorial Sloan-Kettering. I would suggest that you talked with your oncologist and/or urologist about this calculator and see if they will apply it to your husband's information and provide you with the results. While the Gleason 9 and the high PSA indicates advanced prostate cancer the PSA of .01 is great and you should feel blessed.

Diagnosed 7/6/06, 1 of 10 core samples, 40%,Stage T1c, Gleason 3+3
Da Vinci on 11/01/06, Catheter out on 11/13/06
56 Years Old
Post Op Path, Gleason 3+3, Approx. 5% of prostate involved
Prostate Confined, margins clear
Undetectable PSA on 12/18/06
No more pads as of 1/13/07
Began injections in April '07
Undetectable PSA on 6/25/07

Veteran Member

Date Joined May 2006
Total Posts : 2542
   Posted 11/16/2007 8:50 PM (GMT -6)   

  cool   Hey ~ Pooks,

It’s great to hear from you! 

Really good to hear that the treatments worked. 

Stay close ~ okay.  Looking forward to seeing that .01 in your signature!!

Keeping you close ~


Partial quote from above posting!!!!!!

His PSA has dropped to .01.


  tongue   Yea!! Pooks


!!!~~~>>>  Woo~Hoo <<<~~~!!!


Cause for celebration!!!!!  Definitely!!!

What a wonderful day it is ~ each and every-day….   

Enjoy it to the fullest. 


In Friendship ~ Lee & Buddy

*     *     *     *     *     *

The ultimate “goal”… we all strive for… Thank you for sharing ~ that your goal has been met….

It is very important to “all ”of us!  This is a way of positive feedback…

A way of showing others Hope… and a way of Sharing.


J  Caring is Sharing ~  Thank You for Sharing  J

mama bluebird - Lee & Buddy… from North Carolina


v          We invite you to visit our personal thread:  Click Here:  “Our Journey” ~ Sharing is Caring 

April 3, 2006  53 on surgery day

RRP / Radical Retropubic Prostatectomy

PSA 4.6   Gleason  3+3=6    T2a   Confined to Prostate

3rd PSA 08-07-2007 Less than 0.1 Non-Detectable :)

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