What are the odds of PCa returning after 10 years?
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From: Dick Smith on 1 Aug 2006 19:52 What I really do not understand is why the odds seems to increase substantially that PCa returns after 10 or 15 years. If a man was monitoring his PSA and PCa was found in the early stages and subsequently had a RRP performed what are his odds of having PCa return after 15 years? and Why? What I don't understand is from some general reading I've done. They say that (roughly) 1 in 10 men who get PCa will die from it. Yet that seems counter to the notion that roughly 1/3 of men with PCa after 15 years will die from it. Are there cancer cells that were missed? If so, why not do EBR after surgery?
From: I.P. Freely on 1 Aug 2006 20:42 Alan Meyer wrote: > A rad onc told me that surgeons _think_ they got all the prostate > tissue out, but they can't know for sure. A surgeon once told me > that rad oncs _think_ their radiation kills all the cancer, but they > can't know that for sure either. Neither promised me anything; the best reassurance I got was one simple "fact": negative margins. Whoopie; even if true and even at a cellular level, there are still cancer cells in my blood stream and no doubt others lodged in distant spots, all looking hard for a spot with favorable conditions to flourish. The higher our Gleason score, the greater their odds of success. Given that and my G8, all my negative margins do for me is shift my cancer's return odds towards distant --- i.e., incurable -- mets. With any luck I'll die of a heart attack instead. That would be a HUGE victory, given that my heart is apparently very healthy. I.P.
From: I.P. Freely on 1 Aug 2006 23:43 Clarence Crow wrote: > this is apparently minimised by keeping your Immune System healthy. Which ALSO requires walking a tightrope . . . between sufficient exercise and too much exercise. I.P.
From: I.P. Freely on 1 Aug 2006 23:45 John Loomis wrote: > I am not sure where you come up with re- accurance...After 10 to 15 years, > and please give me your details.. > If you have a Dr. and do a biopsy, and decide your route, > You will either be having RP, and or having Rp, and Radiation. > You may have hormone, and such. Ablaition... > I am confused with your statement and 15 year return...if not 10. > Where are you getting this info from? It's commonly known, and studies support, that PC often takes a turn for the worse around the 15-year point. I.P.
From: dave perry on 2 Aug 2006 00:00
Is this with treatment or without treatment? When I was diagnosed I read that if left untreated, a typical G6 patient had a 20% chance of being dead from PCa at 15 years with a sharp increase after that. With treatment, there is a steady decline in recurrence rates. I also read that any recurrence after 10 years is likely to be a new cancer in some left over prostate tissue, not a recurrence. I'm pretty sure that is some doctor's guess, not data from a study. Dave Perry I.P. Freely wrote: > John Loomis wrote: > > I am not sure where you come up with re- accurance...After 10 to 15 years, > > and please give me your details.. > > If you have a Dr. and do a biopsy, and decide your route, > > You will either be having RP, and or having Rp, and Radiation. > > You may have hormone, and such. Ablaition... > > I am confused with your statement and 15 year return...if not 10. > > Where are you getting this info from? > > It's commonly known, and studies support, that PC often takes a turn for > the worse around the 15-year point. > > I.P. |