My father died from prostate cancer a few years ago. I am still keeping up to date with prostate cancer related issues even though (thankfully) no one in my life is currently dealing with it.
Sorry for the long post, I have a couple of questions that I must not have thought of at the time when my dad was suffering from prostate cancer.
1. Is the reason prostate cancer is (in most cases) slow growing because the prostate is very small in comparison to other cancer sites like lung, stomach etc. so there are less cells to turn cancerous?
2. Why do they not remove the prostate AFTER the cancer has spread (if they have not before). I understand a cure may not be possible at this point, but surely a removal of the prostate would slow the cancer down seeing as the cancerous cells started and remain active mostly in the prostate?
3. Why do they not remove the prostate when first diagnosed in most cases and tell men they can "watch and wait to see if it spreads". Surely the minute the cancer spreads it is too late for a complete cure? I understand that many men live with prostate cancer without problems and die of something else but the death rate seems to be high enough to warrant removal of the prostate for a lot of men (especially with a family history like my father).
A little bit about my dad-diagnosed at age 65, gleason 6, contained to prostate, PSA relatively high-think it was around 5 or 6 or could've been as high as 12. (Fairly high for a first diagnosis though I know not high as far as PSA can get-his PSA was into the 400s in the last few months of his life!) He decided on Brachytherapy, never really considered removal of prostate despite his father dying of it in his mid-fifties. Is removal not really done now? I am so furious that he was not talked into getting his prostate removed I think he would still be alive now. Cancer came back 4 years after Brachytherapy and started on hormone therapy, died 4 years later age 73.
It makes me so mad when i read this blase attitude that you can just watch and wait prostate cancer, it must be the only malignant cancer that is not removed ASAP and can just be left (apparently). Sorry for the rant and long post, I feel a lot of anger towards doctors and myself and family for not talking him into having his prostate removed. He may still not have agreed as he really didn't want it out and we all had faith that this Brachytherapy treatment would work but it's the hindsight that gets me, it seems to obvious now knowing what we know that he should've just had surgery and we should've all taken it far more seriously.