There are Three Subtypes of Teal
Characteristics and Treatments Vary by Subtype
Men with Low-Teal have only one or two biopsy cores with Gleason 3+4 =7. All their other staging factors, however, are similar to Sky. Studies show that men in Low-Teal can be candidates for active surveillance.
Men with Basic-Teal have a profile that is similar to Low-Teal except up to 50 percent of their biopsy cores can contain Gleason 3+4=7. However, none of these cores can be more than 50% replaced with cancer. The list of appropriate treatment options for Basic-Teal is long and includes seed implants, IMRT, SBRT proton radiation, focal cryotherapy, hormonal therapy or surgery.
Men with High-Teal have higher PSA (10-20), a larger (but unilateral) nodule on digital rectal exam and / or more than 50 percent cores positive for Gleason 3+4=7 or 4+3 = 7. Treatment need to be more thorough, consisting of seed implantation, IMRT plus four months of hormonal therapy.
Challenges Vary According to Subtype
The Key to Prostate Cancer has a section solely devoted to making Teal understandable to patients. In addition, Key provides information about diet, exercise, general men’s health, supplements, biopsies, scans, as well as a chapter about how to shop for doctors.