CommunitiesJust Diagnosed With Prostate CancerShould I stay on active surveillance or get prostate cancer treatment?

Should I stay on active surveillance or get prostate cancer treatment?

GD

Community Member

4 days ago

I have been diagnosed for prostate cancer four years ago in April 2022. My Urologist placed me on Active Surveillance since then. I have received a biopsy each year since 2022 These have been done by first having an MRI of the pelvic area followed by a biopsy using an Ultrasound. 12 or 14 samples taken each time with an Oncologist's evaluation. Two of the five biopsies I've had resulted in a positive result for cancer cells being present. The first one (2022) and the last one three weeks ago (2026). Additionally, my doctor sent the samples each time to a lab in CA to determine if the type of cells were aggressive or slow acting. In my case they are of the slow acting variety cells. My question is as a healthy 73 year old, do I continue on the course of Active Surveillance, or advocate for a more substantive treatment, such as radiation or radical prostatectomy. The idea of having this cancer thing inside of me is undermining my mental tranquillity and that of my family. I am concerned that I may need the surgery at some later time and I won't be healthy enough to survive it.

1 comment
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CA

Community Member

4 days ago

This decision between continuing active surveillance versus pursuing treatment is one that many face, and it's completely understandable to feel anxious about having cancer present while also weighing the risks and benefits of different approaches. The mental and emotional impact of this uncertainty is real and valid - both the fear of the cancer itself and concerns about future treatment options as age advances. Consider discussing these specific worries about timing and your overall health outlook with your medical team, as they can help evaluate your individual situation and may also be able to connect you with resources to address the anxiety that's affecting both you and your family during this challenging time.

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