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@ovstampco

When I saw the term " entry level tumor " being used I couldn't help but notice on this forum that virtually every everyone here has been diagnosed with some degree of cancer and almost all of them elect to have actual treatment - regardless of the stage . When researching this topic ( after receiving PSA tests of 11 at age 67 ) I would say that almost half of the articles I read recommended watchful waiting for the lower Gleason scores and stage 1 or sometimes stage 2 cancers and there were plentiful warnings of overtreatment sprinkled in with reams of statistics basically saying that if you have the later stage cancers you should act promptly with treatment but with the " entry level " cancers you are better off waiting and watching . I just had an MRI and I have a 5mm lesion on the left side , contained with no spread or breach of the prostate " wall " . At this time it is not growing quickly and the PSA has been consistant for the last 9 months ( actually down a bit ) . I guess my question would be is it unusual to prefer to play the odds and not get treatment when the statistics are overwhelmingly ( 95% + ) that you will survive without treatment for the next 10 - 15 years with the " entry level " cancer - as it seems like most of the people on this forum opt for immediate treatment ( despite the harsh side effects ) for even those beginning stage issues ?

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Replies to "When I saw the term " entry level tumor " being used I couldn't help but..."

There are lots of factors to consider. If I were diagnosed with a so-called "entry-level tumour" at age 80+, I'd probably opt for just active surveillance, since I'd be at fairly high risk from the treatment itself.

In my 50s with no other health issues, I'd almost certainly treat it aggressively, since I'd have many more years to protect and I'd be less at risk of injury from bone loss, heart attack, etc. as side-effects of ADT.

In-between (like you), it's a tough choice.

(In my case, I was diagnosed with stage 4 oligometastatic PCa in my 50s, so there wasn't really any decision to make; just throw the kitchen sink at it.)