Two phrases in particular in the Prostatecancerinfolink summary of the article caught my attention:"… cancers that are defined as Grade 1 according to the new system have no potential whatsoever for transition to metastatic disease."
and "However, we also recognize that this new system is going to require a complete overhaul of prognostic systems like the Kattan nomograms and the Partin tables… " (as well as other things)
(Again, boldface mine)
If both of these statements are true (and I'm hardly qualified to pass judgment on them), then it would seem that, first of all, guys who are now Grade 1 in this new system are going to be entirely off the hook as far as wondering if PCa is ever going to kill them or not. Presumably, for those guys PCa would become just a lingering nuisance and not much more. Yes, it could go on to cause them some grief, but it will also perhaps fall into the category of things like arthritis or something, a problem, but not a terrifying one.
Secondly, if a "complete overhaul" of things will be needed, this of course raises concerns about
just how readily the prostate medical establishment is going to be willing to make such wholesale changes.
Personally, I thought the article summary seemed a bit disingenuous (not getting into issues such as testing procedures, insurance coverage, reluctance to change, etc.), but I guess we shall see.
Chronic prostatitis (age 60 on)
BPH w/ urinary obstruction, 6/2011
Ongoing high PSA, 7/2011-12/2011
Biopsy, 12/2011: positive 3/12 (90%, 70%, 5%)
Gleason 6(3+3), T1c
No mets, PCa likely still organ contained
IMRT w/ HT (Lupron), 4/2012-6/2012
PSAs (since post-IMRT): <0.1
Post Edited (81GyGuy) : 6/12/2015 2:20:00 PM (GMT-6)