Understanding what your results mean
If you have had an MRI scan and biopsy and have received a diagnosis of prostate cancer you will now have some results to consider.
These results will contain information which tells you:
- How aggressive the cancer is, indicated by the Gleason Grade.
- The progression, size and location of the tumour, indicated by the TNM Stage.
This page will help you to understand what these terms mean and will help you to get a clearer picture of your prostate cancer and the best treatment options for you.
The Gleason Grade is used to evaluative how aggressive the cancer is and how likely it is to spread outside of the prostate.
Many people with a new diagnosis of prostate cancer will want to know their outlook and to understand the treatment options that are likely to be appropriate for them – the Gleason Grade helps to determine both of these.
The Gleason Grade refers to the pattern of cancer cells in the prostate.
The pattern structure of these cells indicates how quickly they are likely to grow.
The different patterns are graded 1 to 5, with Grade 1 being very similar to typical prostate tissue, and Grade 5 being very different to typical prostate tissue. Grades 3, 4, and 5 are cancer.
Prostate cancers often have areas with different grades. The Gleason Score is derived from adding the most common grade in the samples to the second highest grade.
The first score is the most common grade in all the samples. The second is the highest grade of what is left. When these two grades are added together, the total is called the Gleason Score.
Understanding my Gleason results
If conclusive, the TMN Staging system can indicate the tumour’s size, location, and whether it has spread to the lymph nodes or another part of the body (metastasis).
These results will have a combination of the letters T (tumour), N (node) and M (metastasis) and a number to indicate the stage of each, or an X if the result cannot be evaluated.
In general terms T1, T2, and some T3a tumours where the cancer is still confined within the prostate gland, can be considered for HIFU focal therapy.
Understanding my TNM stage results
QUESTIONS FOR YOUR DOCTOR
Now you have your prostate cancer diagnosis results and before starting treatment you should talk to your doctor about your options. You may want to seek a second opinion, or even talk to several doctors about all treatment options, their side effects, and the expected results.
Here are some questions to ask your doctor:
- What are my treatment options? Which do you recommend for me? Why?
- What are the expected benefits of each kind of treatment?
- What are the risks and possible side effects of each treatment? How can the side effects be managed?
- What can I do to prepare for treatment?
- Will I ned to be hospitalised? If so, for how long?
- How will treatment affect my normal activities? Will it affect my sex life? Will I have urinary problems? Will I have bowel problems?
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At The Focal Therapy Clinic we are passionate about prostate cancer sufferers knowing about all of their treatment options.
We know that settling on the right treatment is a big decision for you. If you would like to speak to one of our friendly and knowledgeable patient advocates about your diagnosis and the HIFU Focal Therapy treatment option then please do not hesitate to get in touch today.
All enquiries to The Focal Therapy Clinic are confidential, and we are delighted to offer our advice and support with no obligation.