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aggressiveness of prostate cancer.

My husband when diagnosed had a psa of 93.5 and gleason 4and5(9)His urologist said he has a very aggressive cancer. I asked how long he could have possibly had it. The specialist said difficult to tell it could have been there a long time growing slowly or for 12 months growing fast. Is there any difference in how they can tell.

Re: aggressiveness of prostate cancer.

Aloha Jennie,
The simplistic method is to get a base line test(s), then several months later get the same test(s)and interprate the results. I had an oncologist (now retired)who because of my initial series of PSA tests over eight months said I have the agressive PCa. The actual diagnostic of PCa came from the biopsy. The PSA results indicated a fast rise + a high gleson and there you have it, aggressive prostate cancer. What happens next or when is anyone guess, but with gleson 8 to 10, everyone says it will come back regardless of the treatment.
So,
Faith, Hope, & Love,
Joe

Re: aggressiveness of prostate cancer.

Jenny has your husband been to an onco who is an expert in prostate cancer. There are many men who are living to-day with advanced prostate cancer because they found specialists who knew how to treat this form of cancer. I am talking about ten or more years. A friend of mine was diagnosed 8 years ago and told that he had 6 months to live. To-day he is very much around and working an 10 hour day.
Lenny
Israel

Re: aggressiveness of prostate cancer.

Jenny,

I see that neither Joe nor Lenny has answered your quesion, although they have given good information

You said: I asked how long he could have possibly had it. The specialist said difficult to tell it could have been there a long time growing slowly or for 12 months growing fast. Is there any difference in how they can tell.

It is not possible to say how long your husband could have had the cancer. It is generally accepted that it takes many years - 15 to 20 is often quoted - for a prostate tumour to grow to a size where it can be identified. But, having said that there are some, more aggressive, that can and do grow more quickly and, from the little information you have given, it would seem likely that your husband's disease would have developed in a shorter time frame than the normal disease does.

The Gleason Grade is the best indicator as to how aggressive and rapidly growing a tumour is, especially if this combined with a rapidly rising PSA level. A Gleason of 9 requires early attention from a qualified oncologist and in many cases the disease can be managed for many years - see the men with Gleason 9 and 10 who have shared their stories which are indexed at GLEASON SCORE 8 OR HIGHER

All the best

Terry in Australia

Re: aggressiveness of prostate cancer.

Many thanks for your replies. I guess unfortunately that Alan's cancer is a fast growing one. He had no symptoms it was just a chance psa test 12 months ago. A test that was requested by Alan 5 years and 3 years ago. His GP put him off by saying you have no symptoms and the test is inconclusive!! His GP can't do enough for him now. I wonder why? The Zoladex is working well. Last reading.03.

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