The Gleason Grading System is used to assess the aggressiveness of prostate cancer. Learn how the Gleason score is calculated and what it means.
Learn about the alternatives to general anaesthetic when undergoing prostate surgery. Could a spinal anaesthetic or a nerve block be the right choice for your prostate operation?
Find out when chemotherapy is used to treat prostate cancer, what to expect and the benefits in this short film.
Do you need surgery to treat your prostate cancer? Find out the advantages to keyhole surgery in this short film.
Treating prostate cancer with hormone therapy can be very effective. Click here to learn how hormone therapies can help your prostate cancer.
Treatment for prostate cancer in older men can involve nothing more than watchful waiting or active surveillance. Could this be the best treatment for you?
New treatments for prostate cancer are currently being trialed to treat patients with localised prostate cancer. Could they help you too?
There are many options for prostate cancer surgery. How does your doctor choose which one is right for you?
There are a variety of surgeries used to treat and remove prostate cancer. Find out which surgery for prostate cancer is right for you.
Radiotherapy can kill prostate cancer cells without the need for complicated surgeries. Learn more about radiation therapy, its advantages and side effects, here.
Are you having keyhole surgery to treat your prostate cancer? Find out about new advancements in this short film.
In this video, leading urologist Mr Christopher Eden discusses the advantages and effects of treating prostate cancer with surgery.
A prostatectomy is a necessary treatment for prostate cancer because 80% of prostate cancers have more than one tumour. This is called multifocal prostate cancer and involves several small tumours distributed throughout the prostate. Tumours are often also found in the seminal vesicles; these are located at the back of the prostate and store the fluid which is ejaculated from the penis during climax.
In more advanced cases of prostate cancer, when a patient has a prostate-specific antigen (PSA) level of 10 or more and a cancer grade of 7 or more, the lymph nodes situated in the pelvis are also removed. This is called lymph node dissection and is necessary for patients with intermediate or high-risk prostate cancer where there is a greater risk that the cancer cells have spread outside of the prostate.
When choosing whether surgery is needed and the best type of surgery for a patient with prostate cancer, the grade of the cancer plays an important role.
Prostate cancer is graded using a technique called the Gleason grading system. The Gleason grade describes how aggressive the prostate cancer is, and is determined by studying a sample of the cancer cells, taken by biopsy, under a microscope.
The Gleason grade is important as it tells a doctor how quickly the prostate cancer is likely to spread and the best course of action to take.
A grade of 6 or less means that the prostate cancer is unlikely to spread1. A Gleason score of 8 or more means that there is a good chance the prostate cancer will spread1.
Mr Christopher Eden
1. NHS Choices – Diagnosing prostate cancer. Date last updated: 14.02.2011. Website:
10524 Reviewed November 2012comments powered by Disqus