Tony Crispino said...
It is very possible that he could have been screened at age 42 and had no signs of the disease and ten months later the PSA of 63 could be achieved with this aggressive doubling rate of the disease.
First and foremost, I am very sorry to hear that you lost a good friend, Tony.
I believe your comment, above, is very true for the small percentage of super aggressive PC cases, and is both informative (in many dimensions) and reflective of what is known as the Prostate Cancer Quandary, which I posted in a different thread in November:
...an article called THE PROSTATE CANCER QUANDARY, but I might argue it would be more precisely labeled THE PROSTATE CANCER TREATMENT QUANDARY, since one could posit that there are several other quandarys associated with PC. I'll just copy/paste directly from the article (in italics):
The quandary in prostate cancer medicine is best summarized by Dr. Willet Whitmore, former Chief of Urology at Memorial Sloan Kettering Cancer Center: “When cure is possible, is it necessary? When cure is necessary, is it possible?”
Another very wise urologist, Dr. Paul Shellhammer, once used the words of Whitmore to further explain that we know there are two kinds of prostate cancer and we hope there is a third.
1. There is the kind that can be cured, but need not be cured.
2. There is the kind that needs to be cured and cannot be cured.
3. We all hope there is the kind that needs to be cured and can be cured.