The Sky stage of prostate cancer means a PSA less than 10, a Gleason under 7, and no large tumor masses detected on digital rectal or on MRI. But we call Sky cancer. Interestingly, is it actually a cancer?

At the first ever Active Surveillance Convention, a conference I attended back in 2007, many experts openly bemoaned that the word “CANCER” profoundly overstates the significance of Gleason 6 type of prostate cancer. The pathologists at the conference, however, shot down the idea of a name change saying, “Under the microscope it looks like a cancer, so it is cancer.” No one at the conference had    a rebuttal so the proposal for a name change was dropped.

Interpreting a Pathology Report By Jonathan Epstein, MD | Johns Hopkins University

Patients should personally review their pathology report; the expert description of the information obtained from the needle biopsy. In this article, Dr. Epstein answers 15 common questions about understanding a pathology report.