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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Been Diagnosed With Prostate Cancer. Should I Find Out If It Has Spread And If Not Go For The Operation?

Hi i've just been informed by my first cousin he has been diagnosed with stage 6-7 prostate cancer, i cannot find any stage over 5. he has been given 2 weeks to decide if he wants radium or an operation - if he gets the radium he's been told they cant operate then , is this correct? i asked him re spread and he hasnt been told anymore? should he find out if it has spread and if not go for the operation
Tue, 7 May 2013
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General Surgeon 's  Response
Hi and welcome to HCM. Thank you for your query.
I ve never heard this stage too but you probbaly confused this with gleason score and this means that tumour is pretty aggresive but it doenst need to be spreading around. Radtioth is used usuay when there is no posiblity of operation but after you see radioth reults tumour might become operative. I cant tell yo anything else without findings. WIsh you good health.
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Oncologist, Radiation Dr. Subhas Pandit's  Response
Hello;
Welome to healthcaremagic

You are correct.Prostate cancer can range from stage 1 to 4.There is no stage 6/7.Please confirm stage.
I guess you are talking about Gleason score which can range from 2-10.It is grade of tumor done from biopsy specimen.

After diagnosis he needs to undergo complete evaluation to find stage of disease.Evaluation include MRI of pelvis,Bone scan ,blood PSA level to find how far the tumor has spread and treatment will depend accordingly.

Radiation(not Radium) and surgery are equally effective treatment option for this cancer.There are risk and benefit of both treatment and choosing one depends on different factors like age,stage of disease and preference of patient.
If cancer is early stage active surveillance(wait and watch) is also a treatment option.
Discuss with your urologist and oncologist regarding these options
Regards
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Been Diagnosed With Prostate Cancer. Should I Find Out If It Has Spread And If Not Go For The Operation?

Hi and welcome to HCM. Thank you for your query. I ve never heard this stage too but you probbaly confused this with gleason score and this means that tumour is pretty aggresive but it doenst need to be spreading around. Radtioth is used usuay when there is no posiblity of operation but after you see radioth reults tumour might become operative. I cant tell yo anything else without findings. WIsh you good health.