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Where are all the people on Active Surveillance (AS)?
Prostate Cancer | Last Active: Oct 26, 2025 | Replies (59)Comment receiving replies
@surftohealth88
It didn’t work for you but it does for a vast number of people. It’s upsetting how some doctors are just not competent to keep up with prostate cancer.
My brother was on Active surveillance for six years, At that point he had another biopsy and he was a 4+3, Radiation seemed to have worked well for him at 75, he is 80 now.
That ancan.org Active surveillance meeting has people that have been on it for a long time. Yes, results do vary.
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@jeffmarc
Well, it works until it does not, obviously.
That is what @rlpostrp was trying to say. It works for couple of years but the result is the same- in couple of years cancer becomes more advanced and treatment is necessary in the vast majority of cases. With that logic my husbands AS was successful since he was on AS for 7 years, actually longer since his first MRI was even before that, and PSA was checked for 10 years. His PSA was only 7.6 when his 4+3 was discovered, and that lesion shrunk in size BTW. After biopsy his PSA fell to 5.2 !!! ONLY after his gland was taken out it was obvious that is was taken in the last second (and maybe not).
I can talk only from my own experience and what I read here on this forum, our case is far form being exception here, unfortunately.
The younger the patient, the more troubling "waiting" is since 50 year old has 30 years ahead of him, unlike somebody who is 70.
It all has to be taken into account when making a decision.