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  • Gleason Score reading

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    Old 10-31-2019, 02:57 PM   #1
    ocman
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    Gleason Score reading

    Ok so, 6 of the 15 cores were positive.

    4 ea - 3+3
    2 ea - 4+3

    Since the majority of the cores were 3+3, why wouldn't this be considered 3+4 instead of 4+3?

     
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    Old 10-31-2019, 05:04 PM   #2
    clarkna
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    Re: Gleason Score reading

    Hi ocman,
    Whatever core is the highest Gleason is what they score you as.

     
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    Old 11-03-2019, 08:12 PM   #3
    ocman
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    Re: Gleason Score reading

    Right, then how do you get a 3+4=7?

     
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    Old 11-04-2019, 06:13 AM   #4
    IADT3since2000
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    Re: Gleason Score reading

    You would get a 3+4=7 (favorable risk, Gleason 7) if one biopsy core was scored that way and it was the core of most concern, in other words, no 4+3=7 (unfavorable risk, Gleason 7) or higher. It makes sense when you think about it. A 3+4=7 opens the possibility of success with active surveillance, though typically that surveillance is extra active. Was the pathology done by an expert in prostate cancer or a general pathologist? If not done by an expert, a second opinion by an expert would be a wise step. I did that, and my initial score of 3+4=7 was upgraded to a 4+3=7.

     
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    Old 11-04-2019, 01:07 PM   #5
    ocman
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    Re: Gleason Score reading

    Quote:
    Originally Posted by IADT3since2000 View Post
    Was the pathology done by an expert in prostate cancer or a general pathologist? If not done by an expert, a second opinion by an expert would be a wise step. I did that, and my initial score of 3+4=7 was upgraded to a 4+3=7.
    It was the pathologist at the same teaching hospital.

    I sent my slides to the expert pathologist in Maryland last week.

    Did you opt for a third opinion since the second opinion was quite different than the first?

    peace

     
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    Old 11-04-2019, 02:28 PM   #6
    IADT3since2000
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    Re: Gleason Score reading

    A pathologist at a teaching hospital probably is going to be at least fairly expert.

    I did not need a third opinion as the second opinion team was/is world renowned for their expertise. I believe you will get the expert look that will confirm or improve the initial scoring.

     
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    Old 11-04-2019, 03:52 PM   #7
    ocman
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    Re: Gleason Score reading

    Quote:
    Originally Posted by IADT3since2000 View Post
    A pathologist at a teaching hospital probably is going to be at least fairly expert.
    I agree 100%

    Quote:
    Originally Posted by IADT3since2000 View Post
    I did not need a third opinion as the second opinion team was/is world renowned for their expertise.
    Yes, that would make perfect sense!

     
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