Upload your Prostate Biopsy
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I would answer your questions as detailed below
1) The risk of the prostate cancer
is determined by the grade which depends upon whether it is organ confined (Restricted to prostate itself ) or has infiltrated to surrounding structures or metastasized to distant organs or bones
2)Biopsy is taken from multiple points ,The Gleason's core (PIN) is labeled as per microscopic and histopatholgical distribution and appearance of malignant cells at that particular site It may not be identical at all the sites .It is always average of all the indices that is considered. However your Gleason's score seems to be 3+3 which is considered to be of intermediate risk.But prognosis and treatment depends upon how far it has been advanced .
3) The modality of treatment would be decided after thorough investigations like C.T Scan ,M.R I and Bone scan.
will be the best judge to decide the same .
Hope I have answered your query ,please feel free to ask if you have more questions,I shall be happy to help you
Thanks and Regards.