Posted 7/2/2010 7:37 AM (GMT -6)
postop ended his post with these words:
"The conclusion I'd draw from this, if you are over 70, don't get screened. Younger than that, the studies don't really prove that much benefit, but it seems reasonable if you're in your 50s in good health, there is likely a significant benefit. But early prostate cancer is slow growing, so, if you've got it, you may well not die from it, and if you radiate it or have surgery, there is some possibility that you may not be saving your life".
I don't think I could disagree with your conclusion any more than I do. If a man is 70, comes from a non-PC family, and has/had family members living into their upper 80s or even 90s, then if they were dx with PC, there are still treatments for dealing with it appropriate for their age, and might assure them they could live out their normal life time.
"Younger than that, the studies don't really prove that much benefit" - how could you draw that conclusion. For most men, detection is what leads to treatment which leads to saving their lives. If they weren't screened, they wouldn't know and wouldn't be treated, and pc cases would advance, and men would die.
Then other myth is that PC is slow-growing. That is not always true. We have a large segment here just in our small world at HW that are Gleason 7 and above, including a fair number of Gleason 8 higher cases. Left untreated, these men would very well die of PC.
Then you end by saying, paraphrase, that even if you have surgery or radiation, you may still die. So which way is it?
You didnt post your stats this time, so I can't remember your particulars, to see if screening, dx, and treatments have helped you with ayour PC journey and what your own prognosis is like.
This is why I don't like all the analysis of well meaning studies, that the average person can't prove or dis-prove the numbers. Its easy to talk about the meaning and value when its just numbers on a piece of paper. I put PC not at the report level, or nanograms, but at the person level, the human level, one patient at the time, and the value of his life as an individual trying to survive this thing called PC.
No disrepect to your post in any personal way.
David in SC