Personally, I wish I had started treatment 5 years earlier than I did. And I probably would have if I had not been so stubborn about ignoring rising PSA.
And at the end of the day what would you have had to show for it? Five more years of treatment, and that’s about
“Lead time”Most likely, I would have had the same amount of treatment that I have already had, i.e. RP. But it might have occurred 5 year earlier, before SV involvement and positive margins. Or, possibly, with a lower(but still over 4) PSA, a smaller or even non detectable nodule upon DRE, and maybe Bx results not quite so ominous(but still bad enough for treatment), maybe my surgeon would have felt he could spared me one nerve instead of cutting wide all around. And quite possibly, despite not cutting quite so wide thus maybe leving me with less severe SEs, I would have come out of surgery without the positive margin and SV invasion. Or, best of all, maybe with less ominous results, maybe I would have had the wherewithal and courage to do what I should have done in the first place, RT.
Also, what with the big scare it gave me, I would have started my research on non traditional approaches- dietary, supplemental and that might even be helpful, we don't know yet. But whatever I've been doing that has so far MAYBE helped to put off BCR to at least 4 years(checked again in a few weeks) from what should not have surprised me if it had happened at 1 or 2 years. Since even my surgeon told me I had only at best a 50% chance of no BCR, and he seemed to indicate it might well be sooner rather than later. But helpful or not, I would have started all of that 5 years earlier.
So, seems to me I would have been better off knowing about
this and taking action 5 years sooner, just as I feel I have been better off not finding out about
it 5 years later. Are you actually saying otherwise?
And, are you of the opinion that early diagnoses is of no benefit compared to later diagnosis, probably after PC has escaped the capsule and possibly even after mets are detectable? It sounds like it, but maybe I am misreading you?
And may I ask again: do you know of a study that proves that the 50+% reduction in PC death rate that began with wide spread PSA testing and early detection
in 1992 is mostly from improved treatment, and none or very little from early detection?
PSA 10.9 ~112013
Bx on 112013 at age ~65yrs, with 5 of 12 pos with one G9(5+4), 1 PNI, T2B.
RALP with lymph nodes at Vanderbilt 021914. (nodes clear, SV+, G9 down graded to 4+5, cut wide, but 1 tiny foci right at the edge of margin ) Pros. 106.7 gms!
At 15 months, not wearing a pad most days, mostly dry
PSA <.01 on 6/14 and all until 9/15 = .01, still .01 9/16, .02 on 3/17,6/17,10/17
Post Edited (BillyBob@388) : 3/8/2018 11:42:37 AM (GMT-7)