I never said anything negative about
eliminating Gleason 5 as a cancer, I said that subject was a different matter. Of course it should have been eliminated.
I am not even remotely opposed to AS for those that meet the correct and safe criteria. Even in August of 2008, my uro
openly talked about
it as a possibilty for some men, but with my 7/7 positive cores of Gleason 7 it wasn't in the cards for me.
I think all men with low grade Gleason 6 cases should strongly consider AS, especially single cores that are positive at 10% or below.
If a man truly is in that situation, then, yes, overtreatment is possible and is being done.
I think the argument for AS would be a stronger sale if there was a sure fire PC test that could prove that a person truly had an indolent case at hand. Until such a test is there widespread, many men, I am afraid, will continue to react strongly to the cancer word and want treatment.
We are on the same side on this one John.
Post Edited (Purgatory) : 4/11/2011 8:31:30 PM (GMT-6)