Posted 12/28/2014 9:14 PM (GMT -7)
I have a question that was posed to me by a friend, and I find it interesting and curious. There may not even be an answer
So the background is, this friend was diagnosed with PC about 9-10 months ago, after biopsy, which was prompted by a PSA of 6.1
I don't have all the details but it was G7 originally (4+3), downgraded by Epstein to (3+4). To be complete, the biopsy showed all on the right side. And he then changed to a new URO who did an MRI (6 months after the biopsy, and I believe the PSA at that time was still around 6.1) which showed cancer on left side only, so contradictory. Uro then wanted to do another biopsy which my friend objected to and so it was not done.
My friend began, after doing a lit of reading, to take a bunch of supplements, and the next PSA reading, 3 months later, was down to 4.8. 3 months later another PSA it was 4.9. The Uro is ok with him just doing AS for now, which I'm a little surprised at considering it wasn't even a G6, and I expressed my concern to my friend, but it's his call. Dr just said to him, if your happy then it's fine with me. Same Uro as me, practices integrative medicine, and is an AS believer (I'm not going back to him for other reasons)
Anyway, the question is this....
It's usually presumed, post diagnosis, that if PSA is rising, that the cancer is likely on the move, right? So what if the PSA falls? Do you presume the Cancer is receding? Without treatment? Doesn't compute to me. Unless you consider Supplements ALONE to be valid treatment. (Which I don't, but that's me)
Any thoughts on this? Aside from th fact that with GLeason pattern 4 cells, my friend is not being smart?