Bert Vorstman MD, MS, FAAP, FRACS, FACS
Most prostate cancers such as the common Gleason 6 prostate “cancer”, even though labelled as a cancer, behave as non-cancerous.
The Gleason 6 “cancer”
> does not cause death
> is labelled a “cancer” based purely on low-power microscopic appearances
> unlike a typical cancer cell, lacks a number of cancer molecular biology mechanisms > unlike a typical cancer cell, has a long cell doubling-time at 475+/- 56 days so that from mutation to growth of about 1cm (smaller than 1⁄2 an inch) in diameter, takes some 40 years
> is considered a process of aging since 50% of 50 year olds, 60% of 60 year olds, etc, etc, will have areas of disease
> the Gleason 6 disease is actually a pseudo-cancer (NOT all “cancers” are equal)
The Gleason 6 prostate “cancer” is not a health-risk and does not require detection or treatment. Especially not, the ill-founded and debilitating radical (robotic) prostatectomy.
Only the 15% or so of high-grade prostate cancers are potentially lethal and require detection and treatment but, many of these make little or no PSA.
A Gleason 6 Tumor: Is It Cancer, and Should It Be Treated?