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low psa and relatively long doubling time

User
Posted 10 Apr 2025 at 13:21

Hi

A bit of an unusual question.  I was diagnosed with gleason 6 prostate cancer last month (March 25), following a targeted biopsy, with a psa of 1.47 and a psa doubling time of around 7 years (based on my last 3 psa tests over 6 years).  Based on these figures, I didn't expect a positive diagnosis.  Has anyone else been diagnosed with gleason 6 and a low psa/relatively high doubling time and if so how have things gone for you.   I have joined various groups/forums but not found anyone else so far in this scenario.

User
Posted 10 Apr 2025 at 15:26
Sounds like a classic case for active surveillance with regular MRI and possibly biopsy too.
User
Posted 10 Apr 2025 at 17:51

Hello mate.

View this video. It's about Gleason (3+3) prostate cancer. This low grade cancer is explained by Dr Scholz and should help ease your mind. 👍

https://youtu.be/a0sjUallZQU?si=kZEE0FjAl8HWvBnm

 

Edited by member 11 Apr 2025 at 07:00  | Reason: Additional text

User
Posted 11 Apr 2025 at 01:02

Gleason 6 is about as low as it gets at the point of diagnosis, so it sounds like it has been caught early. You probably won't be put on to an active treatment path while everything appears to be stable, but the surveillance will continue.

If you do proceed to treatment it will probably take the form of hormone therapy (ADT) and either radiotherapy or surgery. As these treatments both have quality of life implications, they wouldn't be started any earlier than necessary. Given your relatively young age, it is quite likely that you will move from surveillance to treatment at some point (if you were older, PCa may not advance to the point where it became a threat).

Your condition is one that would be expected to be curable.

User
Posted 10 Apr 2025 at 15:38

Yes, I was told that Active Surveillance was the best option by far and agreed unanimously at the MDT.  I assume low psa and longer doubling time is a good thing, but combined with a confirmed gleason 6 diagnosis I'm not certain if this means they found it very early or if some people get gleason 6 with a normal psa.

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User
Posted 10 Apr 2025 at 15:26
Sounds like a classic case for active surveillance with regular MRI and possibly biopsy too.
User
Posted 10 Apr 2025 at 15:38

Yes, I was told that Active Surveillance was the best option by far and agreed unanimously at the MDT.  I assume low psa and longer doubling time is a good thing, but combined with a confirmed gleason 6 diagnosis I'm not certain if this means they found it very early or if some people get gleason 6 with a normal psa.

User
Posted 10 Apr 2025 at 17:51

Hello mate.

View this video. It's about Gleason (3+3) prostate cancer. This low grade cancer is explained by Dr Scholz and should help ease your mind. 👍

https://youtu.be/a0sjUallZQU?si=kZEE0FjAl8HWvBnm

 

Edited by member 11 Apr 2025 at 07:00  | Reason: Additional text

User
Posted 11 Apr 2025 at 01:02

Gleason 6 is about as low as it gets at the point of diagnosis, so it sounds like it has been caught early. You probably won't be put on to an active treatment path while everything appears to be stable, but the surveillance will continue.

If you do proceed to treatment it will probably take the form of hormone therapy (ADT) and either radiotherapy or surgery. As these treatments both have quality of life implications, they wouldn't be started any earlier than necessary. Given your relatively young age, it is quite likely that you will move from surveillance to treatment at some point (if you were older, PCa may not advance to the point where it became a threat).

Your condition is one that would be expected to be curable.

 
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