PROSTATE CANCER

ACTIVE SURVEILLANCE

WATCHFUL WAITING

 

IF YOU HAVE BEEN DIAGNOSED

WITH PROSTATE CANCER AND

WOULD LIKE TO KNOW MORE ABOUT

WHY IT MIGHT BE IN YOUR INTERESTS NOT TO HAVE

IMMEDIATE AND AGGRESSIVE TREATMENT AND

WHY A LEADING EXPERT HAS SAID:

" I believe that when the final chapter of this disease is written, which is unlikely to be in my lifetime, never in the history of oncology will so many men have been so overtreated for one disease. After all we have a very small death rate from prostate cancer , which is less than 1%......Clearly we are overdiagnosing this disease."

ENTER HERE

The quotation above is attributed to Dr Thomas A Stamey, a leading expert on prostate cancer. Make a good note of his opinion "never in the history of oncology (the study of tumours) will so many men have been overtreated for one disease" That is a pretty strong statement to make and I have not seen anyone repudiate it.

As long ago as 1994 Dr Stamey was voicing his concerns about the number of surgical treatments carried out for prostate cancer. In a summary of the position as he saw it then, he said: "To the extent that perhaps as many as 50% of these procedures are either unnecessary (the cancer is too small) or ineffective (surgical excision of the prostate fails to cure the patient of his cancer), they represent an enormous cost to an already overburdened health care system."

To put that into context, it was expected that about 200,000 men would be diagnosed with prostate cancer in the United States in 1994 (in fact the number was slightly less - around 190,000). Stamey was therefore suggesting that as many as 95,000 men - around 8,000 men every month - would receive treatment that year which was unnecessary or ineffective. All would suffer side effects (technically called morbidity) from this treatment. For every man in that position there would likely be a woman, children or grandchildren, family members, all suffering to a greater or lesser extent. And all for nothing, if Stamey is right.

So, why does Stamey say this? Is he alone in his views? Why do the current practises continue? Good questions which I will try to deal with fully on this site.
There is a good deal of work to do and a good deal of material to sift through, but for the moment, you can see what I have started assembling by entering the site.

I'd be happy to deal with any specific questions or queries you might have if you
mail me.

THIS SITE DOES NOT PRESENT A BALANCED VIEW ON THE TREATMENT OPTIONS AVAILABLE FOR PROSTATE CANCER. IT FOCUSSES ON THE OPTION REFERRED TO AS ACTIVE SURVEILLANCE OR WATCHFUL WAITING. FOR INFORMATION ON OTHER OPTIONS YOU MIGHT LIKE TO GO TO YANA - You Are Not Alone Now