Certainly a grey area, 3+3 , Pi-Rads 3 diagnosis myself few yrs. back. First biopsy showed one of 12 cores with 40% cancer, subsequent MRI focusing on this area was inconclusive. BPH more of an issue to be honest, enlarged prostate and elevated PSA readings but monitored regularly.
It’s so good to hear Dr. Klotz talk about the grey area. 3+3=6, and 3+4=7 with 10% is just a “couple of high powered fields”. It conveys excellence instead of equivocation.
Make sure it really is gleason 6. My Dad was diagnosed Gleason 3+3. Twelve years later they told him he had metastatic prostate cancer in his bones. He's doing OK, but running out of options now and it's only been two years since his metastatic diagnosis. I'd suggest an MRI... and a thorough look over the videos here on PCRI.
@@justdoesntaddup8620 wow ,that sucks..I call my urologist Dr Chop Suey he was ready for operation inside of a week of being diagnosed I told him to hold off ..going in for 2nd opinion next week and a 3rd the week after
@@justdoesntaddup8620 Greed for money can certainly be a factor but I would hope that most surgeons sincerely believe that they're doing the right thing and are saving countless lives. It's just that no one knows if a patient would have been as good or possibly have been better off had a surgery/radiation therapy not been performed. It's similar to physicians who overprescribed addictive pain medications who likely thought they were doing what's best for their patients but ended up turning a significant portion of the population into prescription drug addicts.
@@ahsannasir1839 yes. Is this a serious question? Gleason 3 + 3 is no guarantee. My recommendation is to go and get a parametric MRI of the prostate. Also look up the UCLA video on how to stage diagnose prostate cancer. It's from a few years ago and they talk about the latest techniques including various blood tests that they can give to classify how dangerous I cancer could be. After the ordeal with my father I would simply recommend having it out even with a three plus three.
@@ahsannasir1839 you should know that more dangerous prostate cancer is more focal it means like More dangerous prostate cancer can be in a smaller area within the prostate so a 3 + 3 might just miss it.
What is “extensive”? How many positive samples? What percentage of samples are positive? Does bilaterality (positives on. Both right and left) have any significance?
Need to check more recently published studies,, not enough time yet but it is showing systemic health care system looks like it is playing a larger roll
Certainly a grey area, 3+3 , Pi-Rads 3 diagnosis myself few yrs. back. First biopsy showed one of 12 cores with 40% cancer, subsequent MRI focusing on this area was inconclusive. BPH more of an issue to be honest, enlarged prostate and elevated PSA readings but monitored regularly.
It’s so good to hear Dr. Klotz talk about the grey area. 3+3=6, and 3+4=7 with 10% is just a “couple of high powered fields”. It conveys excellence instead of equivocation.
Make sure it really is gleason 6. My Dad was diagnosed Gleason 3+3. Twelve years later they told him he had metastatic prostate cancer in his bones. He's doing OK, but running out of options now and it's only been two years since his metastatic diagnosis. I'd suggest an MRI... and a thorough look over the videos here on PCRI.
@@justdoesntaddup8620 wow ,that sucks..I call my urologist Dr Chop Suey he was ready for operation inside of a week of being diagnosed I told him to hold off ..going in for 2nd opinion next week and a 3rd the week after
@@justdoesntaddup8620 Greed for money can certainly be a factor but I would hope that most surgeons sincerely believe that they're doing the right thing and are saving countless lives. It's just that no one knows if a patient would have been as good or possibly have been better off had a surgery/radiation therapy not been performed. It's similar to physicians who overprescribed addictive pain medications who likely thought they were doing what's best for their patients but ended up turning a significant portion of the population into prescription drug addicts.
my dad psa is 100 and gleason is 3+3 =6
is this dangerous
@@ahsannasir1839 yes. Is this a serious question? Gleason 3 + 3 is no guarantee. My recommendation is to go and get a parametric MRI of the prostate. Also look up the UCLA video on how to stage diagnose prostate cancer. It's from a few years ago and they talk about the latest techniques including various blood tests that they can give to classify how dangerous I cancer could be. After the ordeal with my father I would simply recommend having it out even with a three plus three.
@@ahsannasir1839 you should know that more dangerous prostate cancer is more focal it means like More dangerous prostate cancer can be in a smaller area within the prostate so a 3 + 3 might just miss it.
Great info, with two of my favourite people! 👍
What is “extensive”? How many positive samples? What percentage of samples are positive? Does bilaterality (positives on. Both right and left) have any significance?
Need to check more recently published studies,, not enough time yet but it is showing systemic health care system looks like it is playing a larger roll
You shoulD get second opinions ON ALL MEDICAL ISSUES of any importance, and often 3rd or 4th opinions
@@alanaldpal950 indeed.
Dad had 3 biopsies with 3+3. He is has now failed 2nd gen AR therapies and has a rising psa post 2nd round of chemo.