If you have ever done any reading about prostate cancer, you have no doubt come into contact with the notion of watchful waiting, which is also known as expectant therapy. While expectant therapy sounds a lot more like something a pregnant woman would be doing while she awaits her baby, it is actually an activity that consists of very little activity. See, there is something about prostate cancer that it does not share with most other malignant tumors. Prostate cancer has the possibility of growing very slowly, if at all. A lot of men actually die of old age, heart failure, or one of the many other ways a person of maturity can pass away, while their prostate cancer slowly does its thing inside them. It is almost a time lapse of what a cancer can be, in some cases. Of course, there are no hard and fast rules, and each cancer will be unique in its own right.
But there are some cases in which doing very little is the best you can do. If your Gleason score is very low, for instance, you might not have any appreciable growth. Or you might not have a palpable tumor, which means it is not the “lump” that we traditionally associate with cancerous growths. In these cases, taking an extreme approach such as hormone therapy, radiation therapy or chemotherapy might actually be too much for such an early stage. It is rather like calling the fire department, in order to put out the flame of a candle; total overkill.
Watchful waiting is not expectant in that it expects the cancer to grow larger and more dangerous, per se. In reality, it is more expectant in that is expects for there to be more days ahead, so that the future can be found out when it comes around. While there is a certain passivity that is inherent in expectant therapy, it is also true that in some circumstances, the most effective action you can take is to do nothing at all. The hard part is staying cool throughout the waiting process, though.




