Yea it's more on the USPSTF formal recommendation on screening for PCa...
I have asked a few doctors and other advocates if they know that treating PCa extends lives. It's a consensus that treating PCa can save or extend lives. Such being the case, the studies cited and such indicate the effects of screening as they pertain to prostate cancer specific mortality. They cite the differences in a screening category versus a non-screening category and the numbers are small. But we know this fact ~ men are living longer and longer with PCa. If in ten years I die of PCa, statistically it would be no different than if I had never been screened at all and died tomorrow. The ruling would be that screening did not save my life.
I recently had a discussion with my good "down under" friend and advocate Terry Herbert (owner of the yananow.net website) about
what is "cure" or what is "saving a life"? The fact was that I hadn't really thought much about
it or the significance of it. Well to me cure is dying of something else. And saving a life is living longer by changing the course of direction of an ailment.
But it is never broken out in the studies I have read with one exception: drug trials on the terminally ill. But we don't know what effect early detection has specifically on the class of patient that still dies of the disease but lived longer because he was given a fighting chance. But statistically ~ he is just one peg count in the not saved column...
Advanced Prostate Cancer at age 44 (I am 49 now)
pT3b,N0,Mx (original PSA was 19.8) EPE, PM, SVI. Gleason 4+3=7
Da Vinci Surgery ~ 2/16/2007
Adjuvant Radiation Therapy ~ IMRT Completed 8/07
Adjuvant Hormone Therapy ~ 28 months on Casodex and Lupron.
Post Edited (TC-LasVegas) : 5/24/2012 7:17:22 PM (GMT-6)