“to thine own self be true” and prostate cancer treatment decision making

If what you have done yesterday still looks big to you, you haven't done much today.~ Mikhail GorbachevI have playing around with these Polldadday polls and the question about "which treatment do you think gives you the best chance at cure." Well the overwhelming response is surgical removal. Well if that is the prevailing opinion, …

prostate cancer active surveillance and upgrading of the Gleason’s score on subsequent biopsies…new or was it there all along?

I don't have to read this article. The Gleason did not change...it was there all along. When you do a biopsy and it's all Gleason 6 and then you remove the prostate and there are elements of Gleason 7, did it change between the time of the biopsy and the subsequent removal....6 weeks? Well no, …

prostate cancer and “killing a fly with a shot gun when a slingshot would have been fine” or ” a doctor prescribes the bark of the quinquinna when the patient would be be obliged to eat the whole tree.”

 This story makes a strong point and one that is not lost on any surgeon who has had a patient not do well and ultimately die after an operation. Particularly in prostate cancer this is a concern because of some prostate cancers being "low risk, slow-growing, die with it not of it type" kind of …

do you have a “mind” for active “but doing nothing about it” surveillance for prostate cancer

For years urologists have been aware of the "upgrading" of the Gleason's score when comparing the biopsy report with the final pathology report. The tricky thing here is that  the urologist and the "surveillance minded" patient are making decisions about surveillance on limited information, i.e. the biopsy report. ( Think of twelve cores about twice …

A new prostate cancer blog toy…polls and surveys….Do you have a question for the viewers?

Here's a dirty little secret for you....prostate cancer patients often don't choose the treatment that they feel gives them the best chance for cure. They are "I want my cake and eat it too type" patients. By this I mean, "Which treatment will best treat my cancer and limit my potential side effects and complications." In …