Prostate cancer is one of the most common types of cancer in men. Most of the men who have it are over 65 and live active lives. If your oncologist (the type of doctor that sees cancer patients) sees that your cancer is growing slowly, they may decide that you don't need treatment. You should never make that decision by yourself.
If you were newly diagnosed with prostate cancer, you might hear your oncologist use terms such as "watchful waiting" or "active surveillance." These may come up if the cancer is determined to be small, slow-growing, and confined within the prostate (has not metastasized). Some doctors don't use the terms properly, so be sure that your oncologist has the right definition.
As their names imply, they're two completely different methods. So then, what are they, and what makes them different from each other?
If your prostate cancer has yet to show symptoms or is just small, then your doctor may suggest watchful waiting. The goal of this method is to monitor the tumor and avoid treatment until it's necessary. It's a hands-off approach, meaning that it won't require that many tests, especially when compared to the frequent tests that come with active surveillance.
The idea of waiting around for symptoms of prostate cancer to show may not sit right with you. That's fine. The decision is ultimately yours. However, there are benefits to watchful waiting. Treatments for prostate cancer involve radiation, chemotherapy, and surgery. They're all procedures that could be taxing on your body. That's why it's usually better to wait and see if you'll need them.
Certain types of prostate cancer will grow quickly. That makes this approach unsuitable for them. Your oncologist will let you know if that's the case.
The following are the advantages of watchfully waiting for your prostate cancer to metastasize:
The following are the disadvantages of watchful waiting:
Active surveillance is the process of carefully monitoring prostate cancer for any signs of emerging symptoms. It's typically used for low-risk prostate cancer that's still in the early stages. Your doctor usually won't suggest active surveillance if you're young.
In the event that your oncologist chooses to use active surveillance, they'll use regular tests to monitor the tumor. Doctor's appointments will be scheduled every 3 to 6 months. During these visits, you will most likely undergo one or more diagnostic test such as: prostate-specific antigen (PSA) tests, digital rectal examinations, MRI scans, and biopsies.
The following are the advantages of active surveillance for prostate cancer:
The following are the disadvantages of active surveillance:
Both watchful waiting and active surveillance are perfectly fine options, but you can only choose one at a time. The decision is up to you and your doctor. This can lead to a better quality of life, and for some, may never result in prostate cancer treatment. Pick whichever option makes you and your family more comfortable.
If you are seeking prostate cancer treatment in the Portland and Vancouver area, Compass Oncology has expert cancer specialists ready to help guide you through the next steps.