Casey I absolutely agree throughout this thread that over treatment for cancer is real. I don't agree that that stopping the search for it is the answer. By limiting screening only to those with high risk you work on the premise that everyone who is high risk knows they are high risk. My case is the perfect example. I was 44 at diagnosis of advanced prostate cancer. I had no risk factors against me at the time. As it turns out, my father now knows he needs biopsy and is likely the gene donar. So I was high risk but did not know it. I should have been screened at age 40.
It makes better sense to screen and educate. As I wrote yesterday on the Infolink, it is in the Mission Statement of the American Cancer Society, to provide education with it's capital. So when have you seen them educate prostate cancer patients? The fact is that they're operating expenses that take up more than 2/3 of the donated moneys, and 80% of what is leftover is used for 3 cancers ~ Breast, Colon, and Lung. While on the other hand, the Prostate Cancer Foundation uses less that a third for operating expenses and 100% of it's remaining fund go directly to prostate cancer research. They do not subscribe to these changes by the ACS.
There are some excellent points made by the ACS article. Patients do always make great decisions after diagnosis ~ namely because they do not always understand that not all cancer is lethal. So the ACS fix? seems like "Don't tell them they have cancer. We don't trust patients with that information."
I would prefer they reread their mission statement and put more emphasis on education.
PS there's more coming on this subject. Last night the ACS released a press release restating their position as it pertains to breast cancer. They stood to lose a lot of donations from that arena and I am certain the phone was ringing yesterday.
Age 47 (44 when Dx)
Pre-op PSA was 19.8 : Surgery at The City of Hope on February 16, 2007
Gleason 4+3=7, Stage pT3b, N0, Mx
Positive Margins (PM), Extra Prostatic Extension (EPE) : Bilateral Seminal vesicle invasion (SVI)
Hormone Therapy May '07 to September '09 ~ Currently off.
IMRT radiation for 38 Treatments ending August 3, '07
Current PSA (October 7, 2009): <0.1
My journey is at: www.caringbridge.org/visit/tonycrispino
My InfoLink page is at Tony's Prostate Cancer InfoLink Page
Post Edited (TC-LasVegas) : 10/22/2009 4:34:01 PM (GMT-6)