Gleason 3+3, but T3a.

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We had Greg’s results today. 
pirads 5 (was originally told pirad 4)

Number of biopsy samples 18

that contain cancer 8

gleason 3+3=6

cambridge tbc

T3a N 0 M x

he has been booked in for a bone scan next week. I feel a bit confused, the initial relief of the Gleason 6 but the T3a means it’s locally advanced.  We have been given leaflets on different treatments, but I really don’t know.

what’s everyone’s thoughts on this. 

Two hearts

  • Hi WW

    Sorry to hear but T3a means just escaped the gland,  in theory is no where else although I know they're doing a bone scan just in case but unlikely with that lowish PSA .

    Good that a low Gleeson so slow growing,.

    Probably best treatment RT and HT hopefully they can start the HT soon to stop any further spread although Gleeson 6 perhaps means not so urgent.

    Just my opinion for the treatment doesn't mean it's right but see what others say

    Best wishes 

    Steve 

  • Hello  

    Yes, a strange one - Gleason 6 but T3a.

    Personal opinion he's possibly good for HT/RT or Brachytherapy. Surgery might also be on the cards.

    It may be a Gleason 6 but it's thinking of going "walkabout" and I would be pushing for treatment as you are well past the 62 days to start treatment on the Cancer Pathway.

    Best wishes - Brian.

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