Welcome to HealingWell. Sorry you have a reason to be here, but you are most welcome. I see you have decided on Watchful Waiting. I wish you the very best in that avenue. I would assume you are staying in close proximaty of a urologist who is admistering to the "watchful" portion of the protocol. If something should change then I am also assuming you have mapped out what you would do to some degree. But do stay with us and keep us updated.
I believe that many cases won't require treatment, especially in older patients. Diagnosis is 1 in 6, or 1 in 3 or 4 with family history depending on what you read and where you find it. And that is largely because of a very vague PSA testing system. But that does not include guys who just won't go to the doctor. And it does happen. In other words, many men have died of heart failure at 55 and have never been tested for prostate cancer. If the heart failure did not occur, is it possible that they would have died from prostate cancer a few years later instead? These questions we can't answer but I am certain there are some prediction factors that would apply. We can speculate that autopsy statistics are giving us an opportunity to see how prevelent the disease really is. And I have met meny men who were diagnosed in advanced stages, myself included, that had missed an opportunity to be diagnosed younger in an early stage. So until we can come up with a better system, 1 in 6 versus autopsy results gives us a clear picture that we still have work to do. And depending on at what point a person is diagnosed, the sciences in urologic oncology, radiation oncology, hemotologic oncology, have safe jobs. And due to some folks who choose to not subscribe to where we are with the protocols used today, so do internet speculators, snake oil dealers and witch doctors. That to me is tragic.
Very intriguing question.
Age 46 (44 when Dx)
Pre-op PSA was 19.8 : Surgery at The City of Hope on February 16, 2007
Geason 4+3=7, Stage pT3b, N0, Mx
Positive Margins (PM), Extra Prostatic Extension (EPE) : Bilateral Seminal vesicle invasion (SVI)
HT began in May, '07 with Lupron and Casodex 50mg (2 Year ADT)
IMRT radiation for 38 Treatments ending August 3, '07
Current PSA (May 11, 2009): <0.1
Post Edited (TC-LasVegas) : 5/21/2009 1:20:56 PM (GMT-6)