Hi Steve.
(I've copied and pasted most of this reply from the other conversation you started today.)
I'm sorry that you've had to join the club, but welcome, mate.
Initial diagnosis is often the most difficult thing to deal with. Most of us had no symptoms and it is frightening to be told that you have cancer. You get various levels, scores and stages thrown at you, and you haven't got a clue what they mean.
In the grand scheme of things your diagnosis is not bad. Your PSA is elevated but not drastically so. Your cancer is prostate confined and your gleason score is intermediate, which is good news. I wouldn't over concern yourself with cribriform and intraductal factors.
In your case the majority of your cancer cells are 3 and you have a smaller proportion that are 4. Normally at Gleason 7 (3+4) you may have been deemed suitable for active surveillance but your cribriform/intraductal factors rule out this option. Dr Scholz explains this here:
https://youtu.be/-bgmkwpD4Zo?si=YpJkNmvgGxS7K9R5
Hopefully, whatever primary treatment you chose, will do the trick. Please don't start worrying about recurrence before you've even been treated. Just focus on, and deal with one thing at a time.
You'll get lots of support here.
Good luck mate and please keep us updated. 👍
PS: Prior to my robotic surgery I was Gleason 9 (4+5) with cribriform/intraductal carcinoma and comedonecrosis. I was stage T3a with extraprostatic extension, the tumour had breached the prostate capsule.
Over two and a half years later, my PSA is undetectable, touchwood.
Edited by member 26 Sep 2025 at 07:52
| Reason: Add link