Prostate Cancer Survivors

 

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Re: The over treatment problem

Peter whilst I agree with your PSA analogy, it is the only screening test we have to indicate possible prostate pathology. Whilst I understand your concern re unwarranted surgery being undertaken on persons with low grade tumours, we all know that physicians advise what is best for their patients. But of course that expert advice given by the physician is consistent with their training. Good luck in presenting your case to urologists.

Somehow I suspect your wish to halt unwarranted surgery may come to pass but not through the abolition of PSA screening. If advanced metastatic PCa can eventually be managed as a chronic long term disease as say diabetes, then the need for early surgical intervention decreases substantially. That day may perhaps be upon us in the not to distant future.

john




Re: The over treatment problem

To put it another way, the Gleason 3 type (3+3) cells are only marginally more likely to turn deadly than normal prostate epithelial cells. Most men wouldn't have their normal prostates taken out, but they would have them taken out if there are Gleason 3 type cells.

Re: The over treatment problem

Agree 100% . But who need's the education re long term implications? The patient or the urologist?

Re: The over treatment problem

Both

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