VIDEO: Managing Gleason 4+4=8 Prostate Cancer | Mark Scholz, MD | PCRI
Gleason 4+4=8 (Epstein Grade Group 4) is the lowest Gleason score that is considered "high-risk prostate cancer." Despite the ominous terminology, the cure rates for Gleason 4+4=8 are still very high and the "high-risk" refers to the cancer's potential to spread if left untreated. Here, medical oncologist Mark Scholz, MD, discusses everything a man needs to know if he has been diagnosed with Gleason 8 prostate cancer. He explains how PSMA PET scans have changed the process, optimal treatments, and the factors to consider when making treatment decisions.
0:06 What does Gleason 4+4=8 mean?
1:15 How does a patient confirm that their prostate cancer is truly a Gleason 8?
2:05 What kind of survival rate does Gleason 8 cancer have?
3:46 What are the optimal treatments for different types of Gleason 8 prostate cancer?
4:52 How has PSMA changed the staging process for Gleason 8?
9:02 Will doctors universally recommend a PSMA PET scan when it is appropriate or should patients be prepared to ask their physicians about it?
11:35 What is brachytherapy and why should prostate cancer patients be aware of it?
12:38 The two forms of brachytherapy are temporary or permanent seeds. Is one better than the other?
12:54 Is focal therapy feasible for focal therapy?
13:48 What is the role of MRI now that we have PSMA PET scans?
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