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Prostate Cancer | Last Active: 7 hours ago | Replies (38)
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@jeffmarc jeff, when it comes to stratification and pondering AS, how much weight do you see docs tending to give to the subtype / histology of the pattern 4: Cribriform / IDC varieties vs fused and ill-formed.
Have you seen a lot of AS regret, from initially low volume 3+4 guys? For sure life span outweighs the side effects of RP for us. But AS can also mean improved techniques and medicine in five years.
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@chocchip
50% of AS patients end up having to have prostate cancer treatment. I usually hear from people with more advanced cases.
What I have read about is the fact that people with 3+4 and more than 10% four usually are treated. You make a good point about the fact that waiting five years could result in much better medicine being available. If someone shows cribriform or IDC that can be aggressive and probably shouldn’t be allowed to get worse. I don’t think many doctors would let those two options go with AS.
Got to admit though, a guy I know Who has cribriform And a 3+4 with a PSA that isn’t too high and not doubling quickly, has decided to go on AS after having multiple tests. His decipher is very low As are a couple of other tests, he’s taken, So he’s just waiting. Getting regular PSA tests and semi annually biopsies. He’s spoken to multiple well known oncologist who have agreed that he could wait. He’s an engineer with a PhD and just wants to go by the numbers.