Gleason score and what it means for prostate cancer care
A Gleason score is an important part of understanding prostate cancer. If a prostate biopsy finds cancer, the Gleason score helps describe how abnormal the cancer cells look under a microscope. This information gives your urologist a better idea of how slowly or aggressively the cancer may behave.
At Urology Specialists of Austin, our physicians use the Gleason score along with your PSA level, prostate MRI results, biopsy findings, imaging and overall health to help guide the next steps. The goal is to give patients clear information, answer questions and recommend a plan that fits each person’s diagnosis.
What is a Gleason score?
A pathologist assigns a Gleason score after reviewing prostate tissue from a biopsy or surgery. The score is based on the two most common patterns of cancer cells seen in the sample. These two pattern numbers are added together to create the Gleason score.
For example, a Gleason score of 3+4=7 means the most common cell pattern is grade 3 and the second most common is grade 4. A score of 4+3=7 may be treated differently because the higher-grade pattern is more common. In general, lower scores suggest slower-growing cancer, while higher scores may suggest cancer that needs closer monitoring or more active treatment.
What does my Gleason score mean?
Many patients search this question after receiving biopsy results. A Gleason score can feel confusing at first, but it is only one part of the full picture. Your urologist will explain whether the cancer appears low risk, intermediate risk or higher risk based on several factors.
Some patients may be candidates for active surveillance, which involves close monitoring with PSA tests, exams, imaging and repeat biopsies when needed. Others may need treatment such as surgery, radiation therapy, focal therapy or other approaches depending on the cancer’s grade, stage, location and risk level.
When to see a urologist
A urologist can help if you have an elevated PSA, an abnormal prostate exam, a family history of prostate cancer or biopsy results that include a Gleason score. It is helpful to ask questions such as: What is my Grade Group? Is my cancer considered low, intermediate or high risk? Do I need more imaging? What are my treatment options? What are the possible side effects?
Prostate cancer care at Urology Specialists of Austin
Urology Specialists of Austin provides experienced evaluation and care for men with elevated PSA, abnormal prostate screening results and prostate cancer. Our team takes time to explain test results in plain language and discuss options based on each patient’s diagnosis and priorities.
To review your Gleason score or discuss prostate cancer treatment options, schedule an appointment with Urology Specialists of Austin in Austin, Dripping Springs or Round Rock.
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