I think we are all on board in opposing the Task Forces "Not Recommended". Our main differences revolve around who and when to screen; my views are known. Probably with the advances in medical technology and other factors my original questions will not be able to be answered.
I do have 1 question that can be answered: "In the absence of screening and testing.g/diagnosis of PC only when symptoms occur, is the PC not considered to be cure able or can it be staged as intermediate also vs advanced; maybe it's an automatic death sentence"?
As my advocate, I am asking Tony to put it on his agenda at one of his meeting to ask what federal medical facilities subscribe to the "recommendation" and which do not. Of course, he could be "" with verbiage also--lol.
If you do no screening at all (such as PSA testing as part of regular physicals) and the doctor performs a DRE & feels a bump, it would depend on the Gleason Grade. If a man experienced this and a biopsy showed a Gleason 6, he probably would be okay.
But just imagine if a man had not been checking his PSA over the years and a positive DRE led to a biopsy revealing Gleason 9 or 10? I think what follows is probably self-explanatory because, when a highly aggressive prostate tumor has reached the palpable stage, chances are greater that it has already metastisized.
I would feel really bad if such a man had listened to those new guidelines and refused PSA testing in the years prior to his diagnosis -- testing that could have alert
ed him to the disease BEFORE it reached beyond the prostate.
The so-called experts, who made that recommendation, would be nowhere to be found if our fictional victim wanted to ask why they made such a recommendation in the first place.
Anyway, that's this person's humble thought.
Resident of Highland, Indiana just outside of Chicago, IL.
July 2011 local PSA lab reading 6.41 (from 4.1 in 2009). Mayo Clinic PSA Sept. 2011 was 5.7.
Local urologist DRE revealed significant BPH, but no lumps.
PCa Dx Aug. 2011 at age of 61.
Biopsy revealed adenocarcinoma in 3 of 20 cores (one 5%, two 20%). T2C.
Gleason score 3+3=6.
CT of abdomen, bone scan both negative.
DaVinci prostatectomy 11/1/11 at Mayo Clinic (Rochester, MN), nerve sparing, age 62.
My surgeon was Dr. Matthew Tollefson, who I highly recommend.
Final pathology shows tumor confined to prostate.
5 lymph nodes, seminal vesicles, extraprostatic soft tissue all negative.
1.0 x 0.6 x 0.6 cm mass involving right posterior inferior,
right posterior apex & left mid posterior prostate.
Right posterior apex margin involved by tumor over a 0.2 cm length, doctor says this is insignificant.
Prostate 98.3 grams, tumor 2 grams. Prostate size 5.0 x 4.7 x 4.5 cm.
Abdominal drain removed the morning after surgery.
Catheter out in 7 days. No incontinence, occasional minor dripping.
Post-op exams 2/13/12, 9/10/12, PSA <0.1. PSA tests now annual.
Semi-firm erections now happening 14 months post-op & VERY slowly getting a bit stronger.
Post Edited (HighlanderCFH) : 9/1/2013 12:48:37 AM (GMT-6)