Gleason Score & Prostate Cancer Treatments | Memorial Sloan Kettering

Prostate cancer patients are considered high- or low-risk in part based on their Gleason score. Doctors use this tool to determine whether a patient's first treatment should be surgery or radiation, specialists at Memorial Sloan Kettering Cancer Center say.

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Let’s say we’ve got an elevated PSA – went for a biopsy and now have been diagnosed with prostate cancer. What I think most men and most people in the audience are interested in hearing is what to do next: Do I do surgery or do I choose radiation? Where do I go from here?

Let’s talk about some of the pros and cons of surgery. It used to be recommended that surgery was more for younger men and disease confined to the prostate?

We certainly reserve surgery for men that have a ten-year life expectancy at least. Men with less than a ten-year life expectancy can be probably treated in other ways that are much less difficult to go through. In the end, surgery is an assault; it basically is an operation that one has to go through. There is a hospital stay. There are catheters. Simply put, there is a lot a person has to go through with an operation, that if a man does not have a reasonable life expectancy, it is probably not worth going through. That’s not always true for individual patients, but most men who have less than a ten-year life expectancy will be treated with some other modality.

A ten-year life expectancy of someone is now age 75, so it’s not as though there should be an age cut off, per se…

Видео Gleason Score & Prostate Cancer Treatments | Memorial Sloan Kettering канала Memorial Sloan Kettering