Hi KMC 51
I am not personally in favor of "watchful waiting" especially at your young age. There is no test today that will tell you with certainly the stage of your cancer. This forum has demonstrated that point (i.e., some PCa patients who elected surgery and were found to have a more advanced stage of cancer based on their pathology after the prostate was removed). Another important factor to consider is the history of your PSA readings if you have such a history for a few years (i.e., the velocity or how fast has your PSA been rising). The faster it has been rising the more concerned you should be about
undertaking some form of treatment.
Because I was foolish, I ended up in a "watchful waiting" category for close to four years before I was treated. I ignored my primary care physician's advice to have a prostate biopsy when my PSA jumped from below 4 to over 5 (it was 7.1 when diagnosed with PCa about
3.5 years late). Because I was still in an earlier stage of PCa when I was finally diagnosed (but certainly not the earliest), I can only conclude that I was lucky and that my cancer was not growing rapidy. I won't know for a long time whether my so called unintended "watchful waiting" may have cost me dearly if my proton treatment has not eradicated my cancer. The bottom line is that we really don't know with certainty how much cancer we have and how fast it is growing once we have been diagnosed with PCa. In conclusion, I am not a fan of watchful waiting, especially for younger men who should have a long life ahead of them. I started my treatment about
5 months after I was diagnosed. A waiting period of up to 6 months is generally considered to be acceptable unless you appear to be in a more advanced stage of cancer.
68, 29-core biopsy 9/27/06, PSA 7.1, Stage T1c, Gleason 7 (3+4) [less than 20% in one area], Gleason 6 [less than 5% in two other areas], negative DRE, bone scan and Endorectal MRI. Completed 39 Proton radiation treatments 2/22/07-4/18/07.
First PSA test to be taken 7/07.
Post Edited (pcdave) : 6/19/2007 8:53:13 AM (GMT-6)