It may be safe for men older than 65 who have low-risk prostate cancer to go without active treatment, but for younger men with more advanced disease, a more aggressive approach should be considered. PCSM OncTwitter MedTwitter
to go without active treatment, but for younger men with more advanced disease, a more aggressive approach should be considered.
Samuel L. Washington III, MD, assistant professor of urology, epidemiology, and biostatistics at the University of California, San Francisco ― which pioneered active surveillance in the United States ― agreed with the first recommendation concerning older men but not with the second concerning younger men.
In addition to surgery and radiotherapy, patients with other life-threatening illnesses or who were too old to benefit from treatment had the option of watchful waiting. If patients chose this route, they observed their own symptoms and informed their doctor of any changes. "These results may be useful in informing clinical practice with regard to disease management and follow-up of men with prostate cancer regarding the optimal selection of treatment strategies and their allocation to patient populations that will benefit most from their implementation," writes Ahmed Elmehrath, MD, of the faculty of medicine at Cairo University in Egypt, inBut Washington said the new findings will not change his treatment of this patient population and that the...
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