I am asking how to know if PC is cured. Or one has to just accept the remission phase till PC wakes up....
Are there any benchmarks ?
PSA level, Choline Pet scans
Personally I do not get any concrete answers from URO, RO, and prostate ONCO...
When asked, they smile and say so far so good....Sometimes I wonder what goes on in their mind when dealing with PC human patients.
May be our knowledgeable members have better grasp thru personal experience.
I feel personal face to face lived experience is more valuable than Doc experience where human part is missing. They simply look at the disease , rarely having touch with human element which is important part of healing therapy.
I wish that in medical profession, the center be human patient and not the disease.
Docs are there because there are living human patients.
Have happy holidays with all personal prayers and tasty wines....
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Karmaji
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It depends what your definition of cure is ? My definition of cure is very long remission
like 15 to 20 years. By that time, we will be dead anyway.
Complete eradication of cancer cells is an impossible endeavor. Because even a healthiest person harbors at least a few thousand cancer cells. We have to live in harmony with these left over cancer cells I mean :live and let live" as long as they are not harming us...\peaceful coexistence. Once a homeless black guy told me " Ju (you) don harm me...I don harm ju (you)
Coming to Doctors; smiles and saying "so far so good" means either I don't want to make a definitive statement or I am scared of your lawyers who will come to destroy me if something bad happens due to my definitive statement. Doctors are part of this mammoth medical Industrial enterprise and are truly not independent..They are almost like slaves of the system and self protection is at top thought in their mind. We have to continue to empower ourselves with knowledge and wisdom.
My prayer: "God give me the ability to accept "what is"......and liberate me from "what should be"
You are right to focus on the word "remission" rather than "cure". No one can ever be 100% assured that they won't have recurrence. But as you indicate, if remission is long enough, it's just as good as a cure since we die from something else.
At present there is no known cure for MPCa. The future looks very promising, however. Precision medicine where every patient's cancer has a genetic fingerprint (and a targeted therapy based on those genetics) is where we must be 10 years from now. And they are working in it. Happy holidays to you, too!
Right Magnus...lets live with our PCa and die with our PCa….ultimately we all have to die. ...cancer or no cancer ! Nobody can be immortal...that's the universal rule !
Is it possible to be cured of PCa? Some claim to have been cured, but as of 2019 it is unknowable. Dormant cells may become activated 20 or more years after remission.
The best we can hope for is a very low probability of recurrence. IMO.
If it is local, it is definitely curable. If it is loco-regional, it is possible curable. If it is metastatic, it is not curable. The difficulty is in knowing for certain if it is really local or loco-regional. Even the best imaging we have is limited. Some think that oligometastatic PC is curable - I doubt it.
Do we have some documented infos regarding all this....
Or this is personal belief of Docs or patients .....make believe state
If we use refined precise scans....traces of cancer cells moving around. will be found for every body......may be not in form of Colonies...
My URO says do not go for sophisticated scans.... you will get screwed up for nothing...He was happy with Bone scan and did not get messed with Choline pet scan...if there is no pain.....
let loners stay loner as long as Immune system is there to take care of them....Sometimes all very precise scans are a money trap....
Personally I dont know what to say.....except stay in harmony with loners...
Healthy life style with some tested supplements......even Prayer is good supplement.....if done with no reward....
Of course there are many stats for men treated with various diagnoses. None of this is "make believe" - why would you even think that? As I said, even the most sophisticated scans we have now are limited. A PET scan cannot reliably see clumps less than 5 mm (which is a typical slice thickness on a CT).
I sometimes do pray to my cancer cells . I tell them " My dear cancer cells..you are part of me and always were part of me. I am not your enemy. I do not want to burn you, cut you or poison you.. if you just leave me alone.. because If I die.. you die with me too. You stupid suicidal bufoons ! Do you get it ? Lets protect each other. Live and let live.
As others have said, metatstatic PCa is considered to be incurable but that doesn't mean it will always be incurable. I do think that the number of men who die "with" the disease instead of "of" the disease is increasing and will continue to increase. I think the longer current PCa patients can live, the more new treatments they'll be able to benefit from in the future.
We're part of a long evolutionary process that started from pools of chemicals and is progressing to a future that is potentially better than our wildest dreams, or maybe worse than our worst fears. Our descendants will find out. We each have our little stretch of years in that process and we make the best of those years that we can.
If you define a cured case of prostate cancer as a sustained PSA below the limit of detection in the case of treatment by prostatectomy or a sustained low PSA in the case of radiation then prostate cancer is curable in some cases.
The degree to which it is curable is controlled by the Gleason Grade and the stage.
First up is the Gleason Grade, there is a correlation between the grade and the tendency of the cancer to metastase. Grade 6 cancers almost never form distant metastases while grade 9 and 10 cancers tend to metastase quite quickly. Grades 7a, 7b and 8 are intermediate in aggresivity on a rising scale.
Staging is also important as this defines the extent to which the cancer has spread, low grade cancers tend to stay confined for longer and they tend to spread locally so they can be attacked with surgery and radiation usually with ADT as well.
Thus if a low grade prostate cancer is treated early on while the tumour is still small and confined to the prostate there is a very good chance that it will be removed or killed entirely, this probability falls off as the grade and staging rises.
So the answer is yes for low grade, early stage cancers, maybe for intermediate grade cancers in higher stages and very often no for high grade cancers unless you catch them early on.
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