Selmer, I just read the second article, word for word, and couldn't disagree anymore than I do. It looks like it was written by people that have no exposure to PC in anyway. Their baaic assumption is wrong, and they did nothing to prove their point in my opinion. The facts are simple, early PSA testing saves lives, period. Earlier testing for all men, say 40-45 will save lives. Reaching out harder to the African-American community will save lives. Lowering the threashold for a biopsy from 4.0 to something less will save lives. Look how many men just in our group here were dx. with PSA well below 4.0. To me, jmo, watchful waiting for someone elderly or someone dealing with other complex medical maladies can make perfect sense. But if your health is generally good, and let's say you are under 70, and you have a proven dx of PC, from biopsy's, then it means you have PC. The pathology from the biopsy is just an estimate, it may be much more serious or aggressive than small samples indicate, and is often that way. So watchful waiting with a proven dx to me, imo, risky and perhaps even foolish, as cancer doesn't go away on its own. It's all about containment, not whether a person wants to avoid treatments or the side affects of treatment. I honestly think there are those that don't truly understand the mechanics and horror of having cancer. Perhaps they are in denial. Denial itself can be a form of watchful waiting. It is frustrating with PC in particular. I was in good health prior to dx at age 56. No prostate problems, no ED problems, great sex life, there are still times that I wished I had never been checked for years on the PSA tests, but then reality sinks in, and it scares me that I could still be living now, with an unknown and unchecked PC agressively growing in me, and sure would have been more shocked to hit age 60 one day and find out that I had a full blown T4 situation and cancer in my bones.
David in SC
Age 56, 56 at DX, PSA 7/7 5.8, 7/8 12.3,9/8 14.5
3rd Biopsy Sept 08: Positive 7 of 7 cores, 40-90%, Gleason 7, 4+3
Open RP surgery 11/14/8, Right nerves spared, 4 days hospital, staples out 11/24/8, 5th cath out on 1/19/9
Post-surgery Pathlogy Report:Gleason 3+4=7, pT2c, 42 grm, tumor 20%, Contained in capsular, clear margins, clear lymph nodes
First PSA Post Surgery 2/9 .05, 6 month on 5/9