What does the Patient with Micro-Papillary Cancer PMC Think About Active Surveillance AS vs Surgery?
Psychooncology 2017 Jan 26 D’agostino TA et al:
15 patients and 6 care givers
Surgery vs AS
Two themes were shared by both groups.
- Deep level of trust and confidence with physician and center.
- 2. Use of physician and internet as primary sources of disease and treatment -related information.
Three themes from the Active surveillance sample
1.View that PMC is common,indolent and low risk
2. Concern about adjusting to life without a thyroid gland and reliant on thyroid hormone replacement.
3. Openness to reconsidering surgery over the long run.
Four themes emerged from the surgery samples.
- Decision for quick surgery.
- Perception that micro cancer was life threatening.
- Fear of disease progression and the uncertainty of active surveillance.
- Surgery as a means of control and cure.
Comments; Both groups were motivated by desire to reduce illness and treatment-uncertainty. Similar findings were noted with AS vs Surgery for prostate cancer.