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My grandad has stage 1 prostate cancer. When to start treatment?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

My grandad was just diagnosed with prostate cancer at an early stage, and the doctor did an MRI, PSA test, and rectal exam. They said there are no symptoms right now and suggested just closely monitoring the tumor with regular scans and blood tests.

But I am really worried about that; shouldn't the treatment start right away?

Cancer is so scary, and I am terrified it could get worse or even cause death. I love my granddad so much and want the best for him. Is waiting and watching the best option, or should we push for treatment now? I feel so lost.

Please help.

Thank you.

Answered by Dr. Vishva Patel

Education:

MBBS

Professional Bio:

Dr. Vishva Patel is a general practitioner with a strong interest in internal medicine and day-to-day clinical care. He focuses on accurate assessment, clear explanations, and practical treatment plans for common medical conditions. Dr. Patel emphasizes preventive care, early intervention, and patient education to support safe and effective health management in routine clinical practice.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

I think before advising you something definitive, I need to take a look at your grandfather's reports.

Also, I would recommend you get a biopsy (laboratory test used for testing tissues) report, PSA (prostate-specific antigen) level, and an MRI (magnetic resonance imaging) to look at the cancer.

If it is an early-stage cancer, it can be prevented with proper treatment. Active surveillance can help prevent side effects from surgery or radiation, depending on the patient's medical history. However, another opinion from an oncologist (cancer specialist) might be useful.

I hope this helps.

Thank you, and take care.

Regards.

Medically reviewed by Dr. K. Shobana
Published At November 8, 2024
Reviewed At October 13, 2025

Education:

MBBS

Professional Bio:

Dr. Vishva Patel is a general practitioner with a strong interest in internal medicine and day-to-day clinical care. He focuses on accurate assessment, clear explanations, and practical treatment plans for common medical conditions. Dr. Patel emphasizes preventive care, early intervention, and patient education to support safe and effective health management in routine clinical practice.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Vishva Patel is a general practitioner with a strong interest in internal medicine and day-to-day clinical care. He focuses on accurate assessment, clear explanations, and practical treatment plans for common medical conditions. Dr. Patel emphasizes preventive care, early intervention, and patient education to support safe and effective health management in routine clinical practice.

This doctor is not available for online consultations on the platform anymore.

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