Active surveillance for low-risk prostate cancer. (November 2015)

• Record Type: Journal Article
• Authors: Hadjipavlou, Marios; Promponas, John; Madaan, Sanjeev
• Is Part Of: Journal of clinical urology. Volume 8:Number 6(2015:Nov.)
• Page Start: 420
• Page End: 428
• Publication Date: 2015-11
• Subjects: Active surveillance -- prostate cancer -- review -- management -- protocols -- selection criteria -- quality of life; Genitourinary organs -- Surgery -- Periodicals; Genitourinary organs -- Diseases -- Periodicals; Urology -- Periodicals; 616.6005
• DOI: 10.1177/2051415815592816
• Languages: English
• ISSNs: 2051-4158

Abstract

Overtreatment of prostate cancer has become evident as studies comparing radical prostatectomy vs watchful waiting have shown that radical treatment benefits only a proportion of patients. Active surveillance was introduced as a management option for prostate cancer at low-risk of progression with the aim to closely observe for disease progression or change of tumour characteristics and offer active treatment if and when necessary. Active surveillance has been reserved for patients with Gleason 6 localised disease and low PSA; however, selection criteria may be widened as intermediate-term outcomes demonstrate excellent safety, efficacy and patient acceptance.