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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Surgery Required When The Gleason Score Is 7?

My Gleason score came back at 7. I understand that is considered intermediate risk. I am a healthy 58 year and not overweight. I need to find out from the biopsy what each score was, so if the first number say a 3+ 4 would be less risk than 4+3, correct. The first words out of the doctors mouth was surgery. Divinci $50,ooo surgery. I have no insurance at this time. Please advise on what to ask about.
Mon, 14 Jan 2019
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General & Family Physician 's  Response
Hi,

Prostate cancers with Gleason Score between 7 and 10 are more aggressive cancers and may be life threatening. Gleason score of 7 tumors still have a good prognosis, although not as good as a Gleason score 6 tumor.

They are more likely to have favorable outcomes after surgery. Gleason with 4 + 3 are more aggressive form of cancer and more likely to grow and spread than a 3 + 4 = 7 tumor.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Ashakiran S,
General & Family Physician
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Is Surgery Required When The Gleason Score Is 7?

Hi, Prostate cancers with Gleason Score between 7 and 10 are more aggressive cancers and may be life threatening. Gleason score of 7 tumors still have a good prognosis, although not as good as a Gleason score 6 tumor. They are more likely to have favorable outcomes after surgery. Gleason with 4 + 3 are more aggressive form of cancer and more likely to grow and spread than a 3 + 4 = 7 tumor. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ashakiran S, General & Family Physician