I've read a lot of 'urban legends' about
prostate cancer. The one that seems to have the most staying power is that most prostate cancers are indolent, and that you'll die of a bee sting at age 95 before prostate cancer will kill you.
On occasion, I've even second-guessed my own decision to get the cancer cut out, thinking, maybe mine was one of those indolent cancers and I could have practiced 'watchful waiting' (Read: Spin the roulette wheel).
I have yet to read that there is any research that proves with confidence which prostate cancers are indolent (slow-growing) and which are not. Has anyone read any solid evidence that can determine which cancers are aggressive and which are not?
I know that Gleason score is an indicator, but who is to say that a low Gleason score will not become aggressive and spread outside the prostate. Will this take a year, two years, a decade?
Bottom line for me is that I am thankful for an on-the-ball internist who sent me to a urologist when my PSA increased fourfold in a year, though remaining in the normal range for my age. We found it early, got it out, and now I can deal with living life without the Damocles sword of prostate cancer hanging over my head.