I was first diagnosed with PC when a NEW doctor asked for a full (introductory) blood test.
Interestingly, I asked the 'old' doctor (who retired), his attitude to PSA tests.. He declared that he would not request a PSA test unless the patient displayed relevant symptoms. I am assured that the state of my cancer would have taken years to develop, so any blood tests ( which I paid no attention to their content -- The Doc knows what he's doing ) should have shown a developing situation .
He explained that the State Government had 'suggested' that doctors not request PSA tests, because of all the reasons suggested above.
In my case, I may have been in serious trouble with PCa had I not changed doctors and had that test, as would my brother.
We both discovered our (serious) cancers early and at a treatable stage.
I continue to be amazed at the number of men I am finding with PC.
At least if one KNOWS you have it, and 'watchfull waiting' is employed, then valued judgements can be made in line with current knowledge.
I often quietly wonder just how many of those that I hear have "...died from cancer..", have in fact died from Mets of a un-Dx'ed PCa, or a PC that is being watched.
My understanding of PC-Mets is that they are easily confirmed as caused by PC, and yet I have NEVER heard reference to a fatal bone-cancer being a Met of PC..
I have heard of those who have been treated for (say) colon cancer, and a few years later die of other cancers caused by mets of PC.. The suspicion being that the Colon cancer may have been a PC met..
Could one speculate that THEY would NEVER admit it (PC Mets) because that might suggest a degree of past negligence, in not detecting or treating, a treatable PC..?
Could correct catagorisation of the fatal cancer make the PC stats. different.
I know that I am speculating, but would love to hear an opinion from someone better qualified that me.
I will be interested to read the book..
Nov 2009 = First-PSA 5.3 @ 60yo - Asymptomatic - DRE-Non-Palpable
Jan-'10 = TRUS Bx DX - AdenoCar T1c - GS(3+3)=6 , 5 & 45% max., L-MidZone
May-'10 = RRP-Nrv-Spare
Post Op. GS(3+4)=7, 1.1cm3, Pos Margins, EPE (focal) Lateral Left
Margin-Involvement (extensive) Posterior , Grade3 x 8mm
+8week PSA<0.01, ED-85%, Incont-30%
+16W PSA<0.01, ED -85%, Cont -5%
+17W First 'DRY' day. ED -90%
Post Edited (BuiDoi) : 11/16/2010 4:39:23 PM (GMT-7)