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Prostate Cancer Surgery after a Steep Gleason Score Jump

Posted Aug 16 2009 11:03pm
Q: My biopsy Gleason score recently jumped to a 9 (out of 10), so there's no question my prostate cancer is more aggressive than I thought it was. I've decided to have robotic surgery. How likely is it that I'll have a prostate cancer recurrence some time after my cancerous prostate is removed?

A: I'm sorry to hear the  bad news about your elevated Gleason score. But as a two-year RALRP survivor, I can tell you my recovery following a Gleason 6, was quick and easy as it is for most robotic surgery patients. My quarterly and now half year PSA test numbers remain virtually undetectable too. 

The advantage of the surgical removal of one's prostate is that pathlogsts then put it under the microscope (with Johns  Hopkins being the pathology lab of choice), to check if your prostate margins are positive or clear. 

If they test positive, then there's a greater chance that some cancerous cells have escaped into the prostate bed or nearby tissues or organs, and that would require further testing and additional treatment.  
If clear, then your prognosis for avoiding recurrence could be pretty good. I will pray accordingly!

-Rabbi Ed

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