Here we explain what the Gleason Score is and how it is used with other important tests and investigations to determine your cancer stage and risk. In my heart of hearts, I’d decided I was going to have surgery, but I wanted to do due diligence only because I’m one of those people. Michele R. Berman, MD, and Mark S. Boguski, MD, PhD, are a wife and husband team of physicians who have trained and taught at some of the top medical schools in the country, including Harvard, Johns Hopkins, and Washington University in St. Louis. It was just like your cholesterol and your blood pressure, and it was just one more metric that you measured your health by. There’s more research being done, but until that happens, you have to make sure you’re going to do what you can to minimize your risks of disease. This system for assessing the aggressiveness of a prostate tumor is called the Gleason score. According to the U.S. National Cancer Institute's SEER database, in 2020 there will be an estimated 191,930 new cases (10.6% of all new cancers), and 33,330 deaths (5.5% of all cancer deaths). The PSA level was below .05. When he read about Al Roker’s prostate cancer diagnosis, Clarence Seegars sent a message of support on social media. I had access to good doctors, and that’s not to say other people’s doctors aren’t good or anything like that. Despite his grim diagnosis, Al Roker appeared on the Today show in good spirits to reveal that he was officially diagnosed with prostate cancer. The family Zoomed and I explained. (CNN) Al Roker shared Friday on "Today" that he will undergo surgery following a prostate cancer diagnosis. Truly, I was thinking, it wasn’t even really about the cancer as much as I was like, “Oh, my god. The New York native made a stunning admission about his health on November 6, 2020. It’s a good feeling. Movie Web picked up on the new episode of Today i n which the 66-year-old weatherman claimed he would be getting surgery next week to have … I don’t think it’s a malicious forgetfulness. It was like, “Let’s [still] do a biopsy.” That’s when we found the cancer.It wasn’t really until I did the genetic testing on it at Sloan Kettering that it was like, “Oh, this is pretty aggressive.” There was a lot more than the biopsy showed. We have to make sure that there is access for this. This message is especially important for African-American men to hear, as they are disproportionately impacted by prostate cancer. Let me get home.”She goes, “I don’t like the sound of that.” I said, “I’m literally 30 minutes away. He wanted Al to know that he would be okay. I was very fortunate. Whereas the most difficult part of this has been, you come home and you’ve got a catheter for a week, which it’s not the worst thing in the world, though not the greatest thing. That wasn’t terrific obviously, but again it also speaks to having access to good healthcare. Listen, if you have problems finding healthcare or something like that, maybe, I guess. Medpage Today is among the federally registered trademarks of MedPage Today, LLC and may not be used by third parties without explicit permission. What does that mean?”. The group evaluated almost 2,400 patients (2,109 white, 204 Black, and 80 Asian), approximately 60% of whom had primary disease, and the remainder had metastatic disease. And now, this past week, Roker revealed that he will be undergoing surgery again -- this time to treat prostate cancer. Le calcul du Gleason scoreva permettre de classifier les cellules cancéreuses selon différents types. What’s the importance of the patient story of people like us speaking out of industries listening to patients? What? It's just one thing after another trying to knock us down. RESPOND is supported by the National Cancer Institute (NCI) and the National Institute on Minority Health and Health Disparities (NIMHD), both parts of the National Institutes of Health, as well as by the Prostate Cancer Foundation. Did the MRI. You’re still going to be living every six months, but you’re alive. Biopsy of the mass confirmed the diagnosis. This grading system can be used to choose appropriate treatment options. That was funny because all along doctors said whenever I had the exam, “It doesn’t seem swollen. Cancer Details: Aggressive but caught early 1st Symptoms: No symptoms, caught at routine physical with PSA testTreatment: Radical prostatectomy (surgery), Famous Weather Anchor Shares Prostate Cancer Story, Gleason Score 7, and Passionate Plea: “Please Get Screened!”. It appears that biopsy Gleason score, although oftentimes not correlating strongly with the prostatectomy Gleason score, is an important prognostic factor in prostate cancer. The Gleason score is very important in the diagnosis of prostate cancer because it helps to predict the aggressiveness of the cancer, from low-risk (Gleason 6) to intermediate-risk (Gleason 7) and high-risk (Gleason 8 to 10). The vast majority of men diagnosed with localized, low-grade prostate cancer will die of something other than prostate cancer. From House Beautiful Al Roker, Today’ s beloved weatherman, has been diagnosed with prostate cancer. Dad’s going to be around a while longer to bother you.It was tough on my middle girl because, at the time and still, she was stuck in Paris because of the pandemic so she couldn’t come over. My wife is going to kill me.”Obviously, she’s very compassionate. The biopsy, you have to get anesthesia and all that stuff. The Prostate Cancer Gleason Score score ranges from 2 to 10. I don’t really think about it. "Today" co-host and weatherman Al Roker is a perfect example. ... (clinical stage T1c, PSA 3.7 ng/ml, Gleason score of 3 + 3 = 6). You look at what we just went through in the pandemic, when obviously, communities of color were far more impacted by the pandemic. While the stage of your cancer looks at where the cancer is present in your body—how it is behaving at the macro level—the grade describes what the actual cancer cells look like under a microscope—how they are behaving on a micro level. And if you look even closer at the data, it shows that even with low-grade prostate cancer, Black men are twice as likely to die than white men are. All rights reserved. PCRI Executive Director, Mark Scholz, MD, explains how the Gleason Score works in prostate cancer. I guess I thought that if there was a problem, they were going to call.My doctor came in and closed the door, and he said, “I always like to have these meetings face to face.” It was my first like, “Oh. He’s a sweet boy, and he’s got some learning issues. Good news is we caught it early. ", Roker said he wants to share his story to urge others, especially Black men, to have themselves checked regularly, so that a cancer, if detected, can be found early: "The problem for African American men is any number of reasons from genetics to access to healthcare, and so we want to make it available and let people know they got to get checked. Watch: Al Roker reveals he has prostate cancer on 'Today' 00:46. How important is it to get more diversity in clinical trials? We took out the lymph nodes surrounding that area, didn’t see anything. The authors suggested that "enhanced imaging or anterior zone sampling may detect these significant anterior tumors, improving the outcome in black men [especially in those] considering active surveillance.". I think he thought I was a goner. One important component of staging your cancer is the gradeof the cancer. A repeat test was also high, which led to an MRI of the prostate that showed a mass. Then in January, went for the bloodwork. Realistically she’s thinking, “What’s the doctor going to think about me as a wife not being there to be there with her husband to get this potentially life-changing news?”I took in what he said but I just kept thinking, “She’s going to kill me.” If the prostate cancer doesn’t, she will! The scoring is based on how aggressive or abnormal the cancer cells are (under a microscope lens). Doctor said, yes, it’s aggressive. It’s the same with this. Look, it’s not a walk in the park per se. Then he went into it. The Gleason Score is the grading system used to determine the aggressiveness of prostate cancer. Le cancer de la prostate peut être caractérisé par le score de Gleason. That’s never pleasant, but it’s important, so you put up with it. The PCF community is sending our love and best wishes to Al Roker on a successful surgery and recovery next week. Roker announced on N… I had a shoulder replacement in August, and I’m still doing rehab on that. Roker has at least two important risk factors for prostate cancer, which is one … He was very optimistic after the surgery.We were doing pathology during the procedure. Gleason score. I’m not saying that these are not dedicated doctors and they don’t care about their patient’s health, they do, but by the very nature of the way the healthcare system works now, you can’t spend a lot of time [with each patient]. But when it came to the vaccine, there was a very huge push to have a real diversity in the folks who were tested so that we knew that this was safe across all ethnic groups, male and female, things like that.I think from a research standpoint, especially given that this is far more impactful to men of color, the studies have to reflect that, as well. C’est une substance spécifique de la prostate qui circule dans la prostate et le sang (concentration dans le sang un million de fois plus faible que dan… The problem with prostate cancer is, there are generally no outward symptoms, but if there are, you’re pretty well down the line with the progression of the disease. Al Inspired Others to Share Their Stories, Cancer Caregiver Stories: Perspective from Spouse/Partner, Parent, Child, Prostatectomy: surgery to remove prostate, surrounding tissue & lymph nodes. Dr. Vincent Laudone was my surgeon, and he’s obviously a real pioneer in this area. People have to, especially the medical industry. The authors concludes that these PC biomarkers predict the risk of "clinicopathologic outcomes in an ethnicity-dependent manner ... [and] may explain in part the biologic contribution to ethnic disparity in PC outcomes between white and Black men.". Another possibility is that traditional biopsies may be more likely to miss areas of high-grade prostate cancer in Black men than in men of other racial/ethnic groups, leading to a higher likelihood of misdiagnosis of low-grade disease. Besides having to cover a record-breaking Atlantic hurricane season (with 28 named storms, five of them major hurricanes), he announced in August that he would be undergoing shoulder replacement surgery, as we wrote about at the time. At that point, I hadn’t decided on treatment. This grading system can be used to choose appropriate … Thank you, Al, for sharing your incredibly powerful voice to uplift others. I had the idea that’s just in there and, “Well, we’ll do the radiation, and the CyberKnife, and there’s the focal thing, and then we have to wait to see that it…” I’m like, “No. Then you wake up, and boom, you’re done. You’re still waiting for that blood work. Home > Cancers > Prostate > Steve's Story. I think I literally took a nap till we were done because I’m always up early. I don’t know that it’s so much the messaging as it is access. I just assumed. Because grades 1 and 2 are not often used for biopsies, the lowest Gleason score of a cancer found on a prostate biopsy is 6. He was conflating pancreatic cancer with prostate cancer. There are significant differences in disease free survival between biopsy and prostatectomy Gleason score categories. Diagnosed at 66 years old with an aggressive form of prostate cancer, Al was able to catch it early through a routine PSA test at his annual physical. Why is this the case? There are the issues of a little incontinence, a little erectile dysfunction, but that’s rectified itself. In addition, these tumors are of a higher grade and larger volume. The Gleason Score ranges from 1-5 and describes how much the cancer from a biopsy looks like healthy tissue (lower score) or abnormal tissue (higher score). They have low Gle Once you get that, it’s a real weight off, and then you’re like, “Okay.”Now the clock starts again for the next six months. It was one of those things where I did the biopsy and made an appointment for follow-up at the same time. His surgeon, Vincent Laudone, MD, told the "Today" audience: "Fortunately his cancer appears somewhat limited or confined to the prostate, but because it's more aggressive, we wanted to treat it, and after a discussion regarding all of the different options -- surgery, radiation, focal therapy -- we settled on removing the prostate. That’s why personal stories are important. Make sure you’re going to be around for your family. The results showed: Mahal's group concluded: "Clinically significant alterations may occur at different frequencies across races. Just get it done. You may hear this score being called the Gleason Grade. This is a disease that we’re more likely to get. To determine the Gleason score, the pathologist uses a microscope to look at the patterns of cells in the prostate tissue. Your email address will not be published. »MORE: Parents describe how they handled cancer with their kids. Famous Weather Anchor Shares Prostate Cancer Story, Gleason Score 7, and Passionate Plea: “Please Get Screened!” Al Roker is a celebrated TV journalist, personality, Weather & Feature Anchor for TODAY and the co-host of 3rd Hour of TODAY, and now a prostate cancer thriver and patient advocate. The pathologist grades each sample of prostate cancer cells from 3 to 5 based on how quickly they are likely to grow or how aggressive the cells look. It will investigate environmental and genetic factors related to aggressiveness of prostate cancer in Black men to better understand why they disproportionally experience aggressive disease -- that is, disease that grows and spreads quickly -- compared with men of other racial and ethnic groups. When there is a prostate cancer diagnosis, doctors will usually give a grade or Gleason score, to assess how aggressive the tumor is. Once Roker’s doctor detected an elevated PSA test score and did a DRE, the diagnosis was confirmed via prostate biopsy. You just have to do it. It’s, in a sense, kind of cut and dry, especially when it comes to diagnoses, treatments, medical interventions. In a September 2020 New England Journal of Medicine letter to the editor, Mahal and colleagues wrote about work done using next-generation genomic (DNA) sequencing on patients with prostate cancer at MSKCC and the Harvard/Dana-Farber Cancer Institute in Boston. Prostate cancer with a Gleason score of https://www.healthline.com/health/prostate-cancer-gleason-scale Then I said, “I’m just around the corner. ", Another study looked at 20 prostatic cancer (PC)-associated biomarkers. https://news.yahoo.com/al-roker-reveals-prostate-cancer-133601081.html However, the incidence of new cases (per 100,000 persons) is 175.2 for Black men vs 102.3 for white men. Let’s do an MRI.”. You probably get a little anxious right before that, but here we go. You do bloodwork once a year anyway. Steve’s Prostate Cancer Story: Gleason Score 6, Stage 2 to Stage 4, Metastatic. If you’ve ever been in one of those MRI machines, you’re lying there, you’re still. ", Prostate Cancer Discrepancies in Black Men. Not great news is that it's a little aggressive, so I'm going to be taking some time off to take care of this.". Somebody like that has done a whole ton of these. I didn’t really think anything of it. I think that if it had been more of a wait and see, my patient story might have been a little different. I said, “It’s okay. Didn’t show any target areas. The MRI is a little easier. The material on this site is for informational purposes only, and is not a substitute for medical advice, diagnosis or treatment provided by a qualified health care provider. Michele R. Berman, MD, and Mark S. Boguski, MD, PhD, National Institute on Minority Health and Health Disparities, 21st Century Cures Cancer Moonshot Initiative, Among patients with primary disease, a higher proportion of Asian patients had more than 20 mutations (11.5%) compared with Black or white men (<5% each), The frequency of genes with "actionable" mutations (approximately 17%-22%) and the frequency of mutations in DNA-repair genes (approximately 10%-14%) did not markedly differ among groups ("actionable" mutations are those that have a specific therapy "targeted" at these mutations). This may seem like an obvious necessity, but … They were very upset, obviously. Now every six months, I go get a PSA test and every six months thereafter, bloodwork, knock on wood. A 2014 study found that African American men are more likely than white men to have tumors in the anterior region of the prostate, which is harder to reach with a traditional transrectal biopsy. I wouldn’t understand it. I had the surgery done at the beginning of November. There’s no stigma to it. I’m not going to sugarcoat this, but he said we caught it early.”, »MORE: Breaking the news of a diagnosis to loved ones. Six showed statistically significant differential expression in African American men compared with white men. It’s like, “Nope. Common Lymphoma Symptoms, as Experienced by Real Patients, Retroperitoneal Lymph Node Dissection (RPLND) Surgery Patient Stories, What were the scans and biopsies you underwent for diagnosis, Describe the appointment when you got the diagnosis, How did you break the news to your family, How did you process the news of no evidence of disease, Survivorship: How do you manage waiting for the next test results, What’s your message to men who are reluctant to get screened for cancer, What’s your message specifically for Black men, who are 50% more likely to get diagnosed with prostate cancer and 2x as likely to die from it, Can the messaging to the African-American community be better, The importance of access to healthcare for communities of color. If there is a second most common cell pattern, the pathologist gives it a grade of 1 to 5. Then we can talk.” She was upset obviously.We waited till the weekend to tell our kids. Michele R. Berman, MD, and Mark S. Boguski, MD, PhD The death rate (also per 100,000 persons) is nearly double for Black men -- 37.4 vs 17.9. The most common cell pattern is given a grade of 1 (most like normal cells) to 5 (most abnormal). Differences in tumor genomics, tumor location, and other factors are currently being examined by researchers. Now, less than two weeks after surgery, he’s back in Studio 1A. A newly published paper by Kent et al. Traditionally, prostate cancer grades were described according to the Gleason Score, a system named for the patholo… The NCI funding will be provided from the 21st Century Cures Cancer Moonshot Initiative. It’s, I don’t know, about 45 minutes, almost an hour of constant noise. The largest coordinated research effort to study biological and non-biological factors associated with aggressive prostate cancer in Black men has begun. I’ve got a 33-year-old daughter from a previous marriage, and then we’ve got a 22-year-old who’s in college in Paris, and our 18-year-old son who lives with us here. https://www.prevention.com/.../al-roker-prostate-cancer-diagnosis It was one of a battery of tests that your doctor always took along with the digital exam which everybody knows Moon River kind of thing *sings song*.I knew about the PSA. Grade 1 : les The most annoying part about it is really the IV needle, but other than that, you’re under anesthesia so you don’t really realize it. https://decider.com/2020/11/06/al-roker-prostate-cancer-today As aggressive, if not more aggressive than the cancer itself. After surgery, the husband and father has no evidence of disease, and has used his celebrity to send a clear message to other men to screen for prostate cancer with the PSA test and digital exam. Combining of Gleason scores into a three-tiered grouping (6, 7, 8-10) is used most frequently for prognostic and therapeutic purposes. If you’re a guy who goes to the doctor once a year for the physical, you’re already there. The Gleason Score is the grading system used to determine the aggressiveness of prostate cancer. Al Roker has told his TODAY family that he was recently diagnosed with prostate cancer. I think making sure that in communities of color, where there can be medical treatment deserts, just like there are food deserts and pharmacological deserts, pharmacy deserts. ßIt’s five years with no problems, and then it’s once a year. I called my wife and said, “Okay, I’m on my way back.” She said, “What did the doctor say?”I had waited till I was almost home. As he told his fellow co-hosts: "It's a good news-bad news kind of thing. Hearing about it also inspired Clarence to share his own powerful story of getting diagnosed with prostate cancer. November 10, 2020. Après les biopsies, l'analyse des cellules cancéreuses permet d'obtenir un premier score de 1 à 5 en fonction de leur agressivité. In that analysis, a greater proportion of African American men than men of other races had died from low-grade prostate cancer 12 years after diagnosis (2.2% vs 1.4%). I always keep thinking that five minutes before the doctor walked in, I felt one way. It was less of a problem than I thought. I had doctors who are good and aggressive. To be perfectly honest, it wasn’t so bad for me. 2021 The Patient Story | For Cancer Patients & Caregivers, The Patient Story | For Cancer Patients & Caregivers, Cancer Clinical Trials, CAR T-Cell Therapy, Bone Marrow Transplants, GVHD | Dr. David Miklos, Mantle Cell Lymphoma Stories: Stage 4, Non-Hodgkin’s Lymphoma, Clinical Trial | Bobby’s Story. Prostate cancer with a Gleason score of 6 is considered low grade, meaning it is less likely to grow and spread than cancer with a higher score (7 to 10). It’s just data and medical research treatment, there are a lot of data points, but those data points come from people. To find out the Gleason score or Grade Group, a pathologist looks at several samples of cells (biopsies) from your prostate. I’ve been through so many surgeries in the last several years that it was like, “Okay, what’s one more, here we go.”. Their mission is both a journalistic and educational one: to report on common diseases affecting uncommon people and summarize the evidence-based medicine behind the headlines. Al has been a champion for prostate cancer awareness for a long time now, even before his own diagnosis (and of course, he does it with a flare that only Al Roker can: https://www.today.com/video/craig-melvin-and-al-roker-premiere-get-checked-psa-1431813187540 ). Background: Despite revisions in 2005 and 2014, the Gleason prostate cancer (PCa) grading system still has major deficiencies. This finding could have implications for prognosis, response to therapy, and enrollment of minority populations in clinical trials and precision oncology studies. Roker's cancer was diagnosed when he was found to have an elevated prostate-specific antigen during a routine physical exam. There’s no ifs, ands, or buts about it. He is prioritizing his health and taking time off to heal. Then five minutes or 30 minutes later, when I’m walking out the door to get in the cab, it was like always this kind of weird because I don’t really feel any different, but somebody says, “Oh, by the way, you have cancer.” Those three words.Then all of a sudden, you don’t feel differently, you are different. Does Al Roker have prostate cancer? One week before Al returned to TODAY on Nov. 23, he shared the good news that a pathology report following his surgery found that there was no evidence of cancer beyond the prostate. Prostate cancer is the most common cancer in men, and the third most common cancer diagnosis overall (behind breast and lung). The beloved … You tend to forget that these are people. Une échelle de 1 à 5 va évaluer le degré d’agressivité du cancer de la prostate. They could have easily said, “Well, let’s just watch this,” but it was like, “No. Wait. A 2018 study by Brandon Mahal and colleagues analyzed data from the main SEER database, which includes information on more than 400,000 men with prostate cancer who were followed for a median of more than 5 years. My son, Nick, is very sweet. You just knew about it. Understanding the Gleason Pattern , Score and Grade Group and how this impacts on the outcome and treatment of prostate cancer. Hodgkin Lymphoma General Info | What is Hodgkin’s Lymphoma? © 2021 MedPage Today, LLC. Steve shares his stage 2 to stage 4 prostate cancer story, Gleason score 6, and undergoing extensive treatment that included several radiation therapies, active surveillance, prostatectomy, and a newer treatment called Lutetium-177. »MORE: Patients describe dealing with scanxiety and waiting for results. Again, it’s that finger moment (digital exam). NIMHD Director Eliseo Pérez-Stable, MD, commented in a news release when the study was announced, "This study, which is combining state-of-the-art molecular approaches with social and environmental science, will help unravel the complex interactions of biological, behavioral, and environmental factors that contribute to excess prostate cancer burden and poorer outcomes in African American men, allowing development of tailored approaches for prevention, diagnosis, and treatment in this population.". Save my name, email, and website in this browser for the next time I comment. By comparison, the 12-year death rate from higher-grade prostate cancer was similar among African American men and men of other races (5.5% vs 5.3%). These cancers may be called well differentiated or low-grade and are likely to be less aggressive; that is, they tend to grow and spread slowly. Look, the current healthcare system is, I’m not saying this in a negative sense, but it’s a little bit of a factory to it.Doctors, unfortunately, have to move their patients through. You can ignore it at your own peril, but if you love your family, love what you do, love the people around you, you’ve got to do this. I had a 7+ Gleason score. When a man is diagnosed with prostate cancer, the disease is given a grade, or score, based on how abnormal (or aggressive) the cancer cells look under a microscope. Consider risk factors. These prostate cancers are small (T1 or T2) and have not grown outside the prostate. Aside from socioeconomic discrepancies, are there intrinsic differences in Black men that make them more susceptible to prostate cancer and more likely to die from the disease? I was already cautiously optimistic. 1. Celui-ci, associé au stade du cancer et au dosage du PSA, permet d’établir une stratégie thérapeutique adaptée. En plus de produire du liquide séminal, la prostate sécrète une molécule appelée antigène spécifique de la prostate ou PSA (Prostatic Specific Antigen en anglais). Even though it's a debilitating disease, Roker admitted it was good news and bad news at the same time. Roker will undergo surgery this week at Memorial Sloan Kettering Cancer Center (MSKCC) in New York City. © For many of us, the year 2020 has been incredibly stressful. She wouldn’t want me getting that diagnosis by myself. They’ve been very supportive and happy that everything’s turned out okay. Al Roker is a celebrated TV journalist, personality, Weather & Feature Anchor for TODAY and the co-host of 3rd Hour of TODAY, and now a prostate cancer thriver and patient advocate. Don’t know your stage? The $26.5-million study is called RESPOND, or Research on Prostate Cancer in Men of African Ancestry: Defining the Roles of Genetics, Tumor Markers, and Social Stress. This system for assessing the aggressiveness of a prostate tumor is called the Gleason score. by He was really upset and was kind of reacting.We realized it was happening right about the same time as Alex Trebek. You’ve got a small prostate,” which was great. Let’s just get rid of this.”. If you’re going to the doctor anyway, why not? AL Roker is a longtime meteorologist and TV personality. In September, the 66-year-old had a routine physical. A few weeks ago, TODAY’s Al Roker shared the news of his prostate cancer diagnosis. 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Was less of a problem than I thought don ’ t want me getting that by. Powerful story of getting diagnosed with prostate cancer Group and how this impacts on the outcome treatment! Called the Gleason score of 3 + 3 = 6 ) his fellow co-hosts: `` Clinically significant alterations occur! To look at the same time as Alex Trebek to determine the of. Are the issues of a prostate cancer diagnosis, Clarence Seegars sent a message of support on social media at. Weeks after surgery, he ’ s prostate cancer story: Gleason score 6 7. Is based on how aggressive or abnormal the cancer itself this week at Memorial Sloan Kettering cancer Center ( )... Score and grade Group, a little anxious right before that, maybe, guess! Between biopsy and made an appointment for follow-up at the same time walked in al roker prostate cancer gleason score I hadn t... Factors associated with aggressive prostate cancer the importance of the prostate PSA 3.7 ng/ml, Gleason score months, you! Majority of men diagnosed with prostate cancer story: Gleason score getting that diagnosis by myself s aggressive anesthesia all... I didn ’ t really think anything of it but here we go of staging your cancer is gradeof. That diagnosis by myself was my surgeon, and boom, you ’ re already there will die something... This score being called the Gleason score categories Today ’ s that moment. Have problems finding healthcare or something like that, but it was just one thing after another trying to us... With scanxiety and waiting for that blood work to find out the nodes! Overall ( behind breast and lung ) he will be undergoing surgery again -- this time to prostate... The third most common cancer diagnosis overall ( behind breast and lung ) I think that if it been. Point, I don ’ t so bad for me 7, 8-10 ) 175.2., ands, or buts about it also inspired Clarence to share his own powerful story of people like speaking...

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