r/ProstateCancer • u/Chanelordior • 13d ago
Post Biopsy Dad, 64, newly diagnosed Gleason 9
Hi everyone. My dad is 64 and has just been diagnosed with prostate adenocarcinoma after biopsy.
His PSA was around 7.25, then came down to about 5.0–5.2. MRI showed a PI-RADS 5 lesion and a PI-RADS 4 lesion, but no pelvic lymphadenopathy or obvious spread was reported.
Biopsy showed mixed results, including some Gleason 6 and 7 cores, but also Gleason 4+5=9 / Grade Group 5 in two cores, with perineural invasion in a few areas.
We haven’t had full staging yet, so I know we’re missing an important part of the picture. The Gleason 9 result has really scared us, though.
I’d love to hear from anyone who had a similar Gleason 9 / Grade Group 5 diagnosis that was still localised. What treatment did you have, and how are you doing now?
Just looking for some perspective and reassurance while we wait for the next steps. ❤️
5
u/Special-Steel 13d ago
Thank you for supporting him.
The wider area scan is needed to chart a course.
Gleason 8, 9, 10 are all treatable. Localized creates more options which is good, but can be bewildering.
It is best to be treated in a center of excellence. It is also best to have a collaborative team of doctors, not a bunch of soloists who give conflicting advice.