I completely agree with addressing known cancer immediately. In my opinion, actively watching cancer grow in your body is a very dangerous option. Current technology does not have the ability to completely track cancer - Any doctor that says they can 100% surveil the cancer without any chance of metastasis is obviously overstating his/her ability. If you have other life limiting comorbidities, active surveillance may make sense. But for those that want the best chance for a PC free life, actively addressing the cancer makes the most sense to me.

Best of luck to everyone with their decision,

Jim