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Suggest Treatment For A Prostate Cancer Patient With Gleason Score Of 6
Hello! I m inquiring on behalf of my father (66 year old) who lives in China. He recently did a prostate biopsy (10 needles) and got 2 out of 10 that contains cancer tissue (2% and 5% respectively). His overal rating is 3+3=Gleason 6 and PSA level is 10.07 (density 0.15). Chinese Doctor recommends immediate laparoscopic surgery, but after researching online I found some opposite suggestion against over-treatment of Gleason 6 patient. Would you please advise what he should do in his situation? Should he go for immediate surgery or monitoring? He s very worried about cancer spreading to other areas of the body. Thanks so much!
Mon, 18 Apr 2016
hi,
thank you for providing the brief history of your father,
A thorough assessment of the laboratory findings and clinical symptoms has to be correlated.
As prostate cancer is harmless and chances of spreading are less common heard as well. Since, the prostrate cancer is diagnosed the guidance of the oncologist is of utmost important here. As depending upon the type of cancer stage and the number of cells affected the oncologist will either plan the medical conservative management or the surgical management.
Also, removal of prostate will not do any harm to your fathers health as he is 66 years old. And as of today, this is the commonest treatment of choice seen in my daily practice.
If the oncologist feels, the cancer cells can be controlled, he will perform his best duty, but if the medicine is rejected by the body and cancer cells multiply then an excision of the prostate is performed which is harmless and also common procedure.
I feel you physician is performing well by trying the conservative management, as a good sign of a physician is to go by ethics and he is doing that only .
Regards
Jay Indravadan Patel
thank you for providing the brief history of your father,
A thorough assessment of the laboratory findings and clinical symptoms has to be correlated.
As prostate cancer is harmless and chances of spreading are less common heard as well. Since, the prostrate cancer is diagnosed the guidance of the oncologist is of utmost important here. As depending upon the type of cancer stage and the number of cells affected the oncologist will either plan the medical conservative management or the surgical management.
Also, removal of prostate will not do any harm to your fathers health as he is 66 years old. And as of today, this is the commonest treatment of choice seen in my daily practice.
If the oncologist feels, the cancer cells can be controlled, he will perform his best duty, but if the medicine is rejected by the body and cancer cells multiply then an excision of the prostate is performed which is harmless and also common procedure.
I feel you physician is performing well by trying the conservative management, as a good sign of a physician is to go by ethics and he is doing that only .
Regards
Jay Indravadan Patel
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