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tpmgem
New Member


Date Joined Apr 2011
Total Posts : 1
   Posted 4/14/2011 4:45 PM (GMT -6)   
 ive been diagnosed with early stage prostate cancer. im 64 and have chosen to let the cancer run its course. am i crazy? 
 

Casper319
Veteran Member


Date Joined Apr 2011
Total Posts : 771
   Posted 4/14/2011 4:49 PM (GMT -6)   
Crazy like a FOX!
 
Just kidding, I was thinking about doing the same thing and I'm only 50.  at your age, depending on how aggressive it is....I may have done the same.  I guess they call that watchful waiting but I think that mainly applies to guys over 75.

medved
Veteran Member


Date Joined Nov 2009
Total Posts : 1096
   Posted 4/14/2011 5:08 PM (GMT -6)   
What are the characterisitcs of your cancer -- psa at diagnosis, velocity prior to diagnosis, clinical stage, Gleason score (including primary, secondary and any tertiary pattern observed), how many cores positive and what percent of each, where in the prostate is the tumor, is it diploid, etc.? If you have very low risk disease, then maybe you are not so crazy. If you have a higher risk disease, and are otherwise in good health, then yea I think you are probably nuts.

Even if you have very low risk disease, you probably want to consult with a urologist who has expertise in "active survailance" and monitor your cancer -- so that if it progresses, you can -- if you want to -- decide to seek treatment.

My dad died of prostate cancer. It is not a lot of fun. So if you can avoid it, and instead die of something else when you get old, that is a good idea.

Sparrowhawk
Regular Member


Date Joined Mar 2011
Total Posts : 130
   Posted 4/14/2011 5:22 PM (GMT -6)   
No, I wouldn't say you're crazy. I'm sure it's something many of us here have thought about. Like Casper319 I am also 50, and I've also thought about letting nature take it's course. My cancer is a bit further along then what you have told us.
People I've spoken to (Dr's, guys my age, a couple of guys in a nursing home) have told me that cancer is no way to die. You waste away, painfully in most cases. You might also consider the anguish you'd subject your family and friends to.
I'd find a Dr. who'd keep a close eye on things and let you know when the time comes to take care of this nasty beast.
31 Jan 11 "Cyst" found on prostrate during Colonoscpy.
28 Feb 11 Biopsy of Prostrate; Malignat Neoplasm of Prostrate.
Rt: 30-40% LT: 5% Gleason Score 3+4=7 Both sides.
PSA: 2.16 "Very Stable over time."
15 Mar 11 Bone and Cat Scans completed- Normal
Large Prostrate: 4.9 x 4.0 cm

larch
Regular Member


Date Joined Apr 2010
Total Posts : 47
   Posted 4/14/2011 5:26 PM (GMT -6)   
Gem

I take it that by 'early stage' you mean a Gleason 3+3 with 5-10% involvement in one or two cores.
If so, you should look into the articles - especially recent posts - on Active Surveillance (AS) or Watchful Waiting (WW) which, at 64, are highly rational approaches to the disease for you.

If however by early stage you mean just diagnosed with a Gleason 7 or a 50% involvement, you need to educate yourself on how treatable the disease is, and how painful and ugly bone and lung cancers can be. That's where prostate cancer spreads when it escapes the gland, and when it does, it is not only a slow painful death, it is essentially untreatable.

So, don't panic, but make sure you are not quitting on yourself too early.

davidg
Veteran Member


Date Joined Feb 2011
Total Posts : 4093
   Posted 4/14/2011 5:36 PM (GMT -6)   
Sorry you got cancer. This cancer is very often treatable.

I don't know you so I can't answer your question, but your approach is certainly that last way I'd approach this.

Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8128
   Posted 4/14/2011 5:39 PM (GMT -6)   
tpmgem,
Give us more information. Early cancer and low risk cancer are two different things...Which ever you are needs to me analyzed. For now you remain on the sane list...;-)

Tony
Advanced Prostate Cancer at age 44 (I am 48 now)
pT3b,N0,Mx (original PSA was 19.8) EPE, PM, SVI. Gleason 4+3=7

Treatments:
Da Vinci Surgery ~ 2/16/2007
Adjuvant Radiation Therapy ~ IMRT Completed 8/07
Adjuvant Hormone Therapy ~ 28 months on Casodex and Lupron.
Undetectable PSA.

Blog: www.caringbridge.org/visit/tonycrispino

BB_Fan
Veteran Member


Date Joined Jan 2010
Total Posts : 1011
   Posted 4/14/2011 6:59 PM (GMT -6)   
64? IMO, yes
Dx PCa Dec 2008 at 56, PSA 3.4
Biopsy: T1c, Geason 7 (3+4) - 8 cores, 4 positive, 30% of all 4 cores.
Robotic RP March 2009
Pathology Report: T2c, Geason 8, organ confined, negitive margins, lymph nodes - tumor volume 9%, nerves spared, no negitive side effects.
PSA's < .01, .01, .07, .28, .50. ADT 3 5/10. IMRT 7/10.
PSA's post HT .01, < .01

Uncle Harley
Regular Member


Date Joined Feb 2009
Total Posts : 85
   Posted 4/14/2011 7:13 PM (GMT -6)   
tpmgem, Crazy? I'd say yes if your intentions are to totally ignore the fact that you have cancer. If you're talking about regular checkups, PSA & DRE, with your uro, then you're not. I've been on AS for just over two years & intend to ride this horse 'til he dies at the door step of the glue factory. If you need to chat about anything with AS, feel free.

Steve n Dallas
Veteran Member


Date Joined Mar 2008
Total Posts : 4829
   Posted 4/15/2011 4:49 AM (GMT -6)   
How old are your parents and their siblings?  If you have a family history of people living till their 90's you might want to reconsider.
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