My father is 77 years old. On 15th. Of November he was operated for prostate which was 34 gms. In his biopsy we came to know about carcinoma of Gleason scale 4+3=7 after a month of waiting we got PSA of 9.372.Please let me know the prognosis of it's spreading to other parts and how much aggressive it can be. Earlier our Doctor suggested a 'Watchful Wait'in his case. I want to know is it alarming? He has diabetes which is controlled by Reclide tablet and for BP he takes Ciladuo (BD). Thanks.

Dr. Nikhilesh BorkarOncologist14yrs exp

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I presume he underwent prostate surgery for benign enlargement and cancer was detected incidentally. Hopefully an MRI and bone scan was done for staging to confirm that its a localised disease. We advise watchful waiting or active surveillance for those with localised, early stage and low risk disease or intermediate risk disease in patients with very high comorbidities, reducing the life expectancy of <10 years. Gleason of 7 and PSA below 10 puts him in the intermediate risk hence watchful waiting would have been advised due to comorbidities as the chances of him dying of comorbidities in 10 years is higher than him developing mets of prostate cancer and dying due to the same.  

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