Posted 6/29/2015 12:03 PM (GMT -7)
halbert said...
The answer to overtreatment is ... better interpretation of screening results.

I really don't believe this to be true. Nor does the medical community.

PSA mass screening has been widely rejected by every single professional medical society because of today’s reality on PC overtreatment. If smarter, more discriminating, treatment decisions were being made, nobody would have a problem supporting mass screening—overtreatment IS the root cause of the PC world’s bad name.
Posted 6/30/2015 6:46 AM (GMT -7)
At age 57 I'd do the biopsy. I did at that age too. You can worry about "overtreatment" once you know what you're dealing with.
age at DX 57
PSA Aug 2011 4.0
PSA Sep 2011 3.9
PSA Feb 2012 4.6
Biopsy Mar 2012, 12 cores, 4 of 12 positive for CA, Gleeson 6 (3+3)
DaVinci 4/16 stage pT2a Tumor involved less than 5% of gland, margins clear, perineural invasion not identified.
Catheter removed 5/2; 4 to 5 pads per day.
Completed 8 wks of pelvic floor therapy on 7/31/12. Padless now 8/24 for a week.
PSA 4/6/13 under 0.1

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