Only a pseudo-scientist will find significant discrepancy between Dr. Jayant's 
comments and my several posts on this subject.  As I have written, the eyes 
will see and read what the mind knows. Not many neurons are needed to know that 
the even a fraction of the field of cancer management cannot be compressed into 
a few paragraphs on Goanet bulletin board.

I would like to expand on Dr. Jayant's writings on prostate cancer, as this is 
a  common cancer among Goan men.  When Dr. Jayant said no surgery, he means 
'doing nothing' (an oversight reference to a trial).  The non-surgical 
approaches (see below) are more widely used in the treatment of prostate cancer 
that surgery. There are several options that patients have in treating 
localized prostate cancer. These are:

1. Radical Prostatectomy (preferably robotic prostatectomy rather than open 
surgery)
2. External radiation therapy (no surgery involved)
3. Radioactive seed implant into the prostate (minimal surgery - brachytherapy)
4. Cryosurgery (freezing the prostate)
5. Watchful waiting - closely following the patient with PSA evaluation.

The best option for an individual patient can only be determined by a joint 
evaluation of the patient by a surgeon (urologist) and a radiation oncologist - 
similar to breast cancer.  Localized prostate cancer can be detected early by 
regular check-ups with blood tests. When done so, early cancer treated properly 
can be cured in 80-90% of patients.

Thanks for allowing me to share this information with you.
To Santosh, (and others) I can say, "It isn't difficult to make a mountain out 
of a molehill.  Just add a little dirt."
Kind Regards, GL

-------------- Santosh Helekar 

JAYANT'S COMMENTS 
 
Old grandmothers in Goa did not really know much about cancer, let alone about 
effect of surgery. There is no such myth (that removing a cancer is dangerous) 
prevalent specifically in Goa. There are stories all over the world of someone 
who had a cancer removed and died subsequently, propagating the wrong 
conclusion that it was the surgery that caused the demise. Obviously, this is 
false logic. 
 
For prostate cancer a "surgery vs no surgery" randomized trial has indeed been 
done, and has proven that surgery actually saves more lives (albeit, with a 
risk of some different side effects, e.g. impotence and incontinence, as 
opposed to the bad effects of the tumour, e.g. obstruction and pain) - but it 
certainly saved more lives, not the other way round (see references 1 and 2).
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