Gleason Score


Gleason Score

Gleason Score

Gleason Score

Analyzing prostate cancer means that doctors require a categorical scoring system; this helps them to determine the overall health of the prostate gland and determine the presence and severity of prostate cancer.

What is the Gleason Score?

The Gleason Score, as it is referred to, will help to ensure that physicians are aware of the prostate cancer’s stage.  The prostate is a “walnut sized” (in actuality, kiwi-sized) gland, located near the bladder.  Utilizing the Gleason Score will enable the physician to make an accurate decision call on management options, and the possibility of a cure for the patient’s prostate cancer.

The whole process of precisely judging the operation is an effort among the urologists and the pathologists. It needs accurate assessment during the biopsy and the accurate classification of the biopsy. This relies on a clear understanding of all the issues. To properly understand the tumor’s Gleason Score, the pathologist and the urologist must be precise, or the consequences may be unfavorable.

The Scoring Process:

This tumor scoring system is based upon microscopic tumour patterns that are measured by the pathologist, based on a prostate biopsy.  The pathologist should accurately read the transparencies and control scores of the tumor. This requires accurate assessment on the pathologist’s part; misinterpretation of the results may result in an incorrect analysis.

This system is clearly subjective by nature. In other words, it is all in eye of the beholder. This is not the sole limitation of this system; there are also others. For instance, not every pathologist has the similar ability or knowledge in judging the Gleason grade and therefore, the outcomes for the similar biopsy read by two dissimilar pathologists can be diverse. Also, the minor needle biopsies occasionally do not give a precise account of the tumor itself.

The Gleason Score may be between 2 to 10. Several markers are observed, and then, additional ones are added for a final sum. (The Gleason score and the Gleason sum are same.) The score is resolute by primary Gleason grade and the secondary Gleason grades, which will then be added composed to get  Gleason score.

• Grade 1: the cancerous tissue will closely resemble the normal tissue

• Grade 2: tissue which still has well advanced structures, such as the glands; though they are also much larger and also the tissues are present amongst them.

• Grade 3: tissue still has the recognizable glands; though, the cells are dimmer

• Grade 4: the tissue has hardly any glands which are identifiable

• Grade 5: there are no identifiable glands in the tissue

As the grade increases, the diagnosis becomes poorer. Certain alternatives to the Gleason Score could have been planned – though, it is still the prevalent scoring system for prostate cancer tumors.