Gleason 3+3 (6)

Everyone was surprised including the Urologist Consultant because I expected the worst outcome with PSA 8.4 (up from 5.3 last year) and PI-RAD 5 MRI one month ago. 

I'm 68, and have been placed on active surveillance with PSA every 3 months, and new tests, if necessary. 

Profile: 68 years, former marathon runner, county level (2hours30mins). 15:12/5km, 32:22/10km. 1:08:00/half marathon. 

Height: 6.1, weight 72-74kg. 

I do sport 2 hours a day - speed walking, light weights (3-5kg) and swimming (1500 in 37-38 mins, 3-4 times a week). Can't run anymore. 

Diet: Intermittent Faster since 2018. Normally 16/8 or 18/6. Regular 23-24 hour fasts. 

Mostly plant based. BMI 20/21.

No medications.

BPH since 2014. 

Prostate size, 38cm

Since the PSA high result (8.4) in December, 2023, have reduced sugar and snacks. 

Anyone else have Gleason 3+3? Recommendations, advice, anecdotes, prognosis?

Could be "false negative?"

Thank you. 

26.2

  • Hello and thank you for your post.

    I am sorry but we are unable to give you a medical opinion about your diagnosis. However, the fact you have a Gleason score would mean that you are likely to have had a biopsy, and this is what determines if someone has cancer or not.

    3+3 is a low-grade prostate cancer, that may take a long time to grow or not grow at all, you can read more about the grades of prostate cancer on our website here.  It is recommended that men with this grade of prostate cancer go on an active surveillance programme.

    There is no recommended diet to have however there is some evidence that keeping active and keeping weight down could help lower the risk of cancer and other serious health conditions. 

    I can appreciate that if you feel well it might be difficult to comprehend a cancer diagnosis.  So do talk with your cancer team, in particular your cancer nurse specialist who can give you more information about your situation.

    You may find posting in another area on Cancer Chat will allow more people to see your post. You also might want to look at the support that Prostate Cancer UK offers, it includes specific support to men on active surveillance, you can read about this on their website here.

    Please get back to us if you need any more information or support.  You may find it helpful to talk things through with one of the nurses on our helpline.  The number to call is Freephone 0808 800 4040 and the lines are open from 9am till 5pm Monday to Friday.

    Take care,

    Caroline 

    Cancer Information Nurse