Gleason score for grading prostate cancer in New Delhi, India
Gleason score for grading prostate cancer in New Delhi, India
What is Gleason Score?
How is Gleason scoring done?
Prostate cancer cells are always different from a normal healthy cell.
When we see the cells under a microscope, If the cells look similar to the normal cells then they are given score 3 ( Well differentiated ) , if they are slightly different, they are called Gleason 4 (Moderately differentiated ) and if they are totally different, they are called Gleason 5 (Poorly differentiated ).
In the biopsy, 12 cores are taken and we add up the 2 most commonly occurring cells and give a final sum score.
So, the sum score can be:
| 3+3 : Gleason 6 | Well differentiated |
| 3+3 : Gleason 7 | Moderately differentiated |
| 3+3 : Gleason 8 | Poorly differentiated |
| 3+3 : Gleason 8 | Poorly differentiated |
| 3+3 : Gleason 9 | Poorly differentiated |
| 3+3 : Gleason 10 | Poorly differentiated |
What to do next after a Gleason score Prostate cancer has been diagnosed?
The next step is staging of prostate cancer. That means that we have to find out if cancer is localised to the prostate or it has spread to any other parts of the body?
The best test for staging of prostate cancer is PSMA PET CT Scan.
What is the life expectancy with Gleason score Prostate cancer diagnosis?
The good news is that the survival rates with prostate cancer are excellent!
According to the American Cancer Society website:
Of all the men diagnosed with prostate cancer every year:
| five-year survival with prostate cancer | 99% |
| ten-year survival with prostate cancer | 98% |
| 15-year survival with prostate cancer | 94% |
There are men however that die from prostate cancer. Why is that?
- Some men don’t get screened and they’re diagnosed with very advanced disease at the get-go.
- And then there are certain rare subtypes of prostate cancer that behave much more aggressively, and those are the ones that we all hear about.
So, my recommendation is get screened for prostate cancer, diagnose the cancer early and get treated properly, so that you can beat prostate cancer and become a Prostate cancer winner!