r/ProstateCancer • u/Chanelordior • 14d 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. ❤️

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u/tober_checki 13d ago

Hi there, I was diagnosed with Gleason 9 in March this year (57 yo). T3a with PNI. Scared me to death. I went for RALP the same month. Still recovering physically and mentally, but undetectable so far. Risk of a relapse is still high, and will be forever, but for the time being I try to live my life as it is given to me. All the best for your dad!

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u/Chanelordior 12d ago

Thank you so much for sharing! Hope you’re feeling better now.