PSA

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Hi all..

I have a Gleason score of 3+4 and PSA of 10.19.

Can someone help me to understand what this means please.

Thank you.

  • Hi, 

    Have you had or are you waiting for any other tests and how old are you please?  Have you had a MRI or Multi Parametric MRI which will give you some more detail as to position of tumour which may have a bearing on treatment options.  What has your Doctor/consultant told you about this?   Have you been referred to an oncologist?  Also,has your case been seen by the hospital's  Multi Disciplinary Team at their meeting yet?   Have you been given a TNM score?   10.19 is an elevated PSA - mine was 12.9 when I was diagnosed with a similar gleason score to yours at 7 (3+4). If you like, this is a low stage cancer and has been caught early so barring any problems seen at MRI or other scans and problems caused with any other health issues you have  "curable" and all treatment options should be open to you.

    The Prostate Cancer UK website has a collection of pamphlets called the Prostate Cancer Toolkit  which you can read online which will give you all - and more information you need at point of diagnosis.  You can also call the Prostate Cancer UK specialist nurses on 0800 074 8383 the lines are open from Mon-Fri 9am - 6pm and Wed 10am - 8pm.

    I had 9 months of Hormone Treatment (HT) and 20 rounds of radiotherapy - would have had the prostate removed but the tumour was seen on the MRI scan to be positioned close to the rectum and was pushing back and out of the prostate so oncologist and radiologist concerned that some cancer cells may have spread microscopically so radiotherapy was deemed best course of action as it would catch any of the microscopic spread - if there was any.  I had minimal side effects from both forms of treatment and within a year of completing treatment was back to my normal self.  Now, nearly 6 years later my PSA is undetectable - so to all intents and purposes a "cure"   as it was for me.

    I put "curable" and "cure" in inverted commas as we never really feel cured and every PSA Test after treatment is always concerning I am due my annual PSA test next month and always think well, maybe it hasn't gone away!  Rationally thinking it has though.