Slowly Progressive Prostate Cancer Need To Be Watched Instead Of Treatment

Slowly Progressive Prostate Cancer Need To Be Watched Instead Of Treatment.
For patients with prostate cancer that has a smaller hazard of progression, on the move surveillance, also known as "watchful waiting," may be a suitable treatment option, according to a large-scale study from Sweden. The daughter of how (or whether) to treat localized prostate cancer is controversial because, especially for older men, the tumor may not betterment far enough to cause real trouble during their remaining expected lifespan. In those cases, deferring therapy until there are signs of disease progression may be the better option.

The researchers looked at almost 6900 patients from the National Prostate Cancer Registry Sweden, seniority 70 or younger, who had localized prostate cancer and a unrefined or intermediate risk that the cancer would progress. From 1997 through December 2002, over 2000 patients were assigned to effective surveillance, close to 3400 underwent pink prostatectomy (removal of the prostate and some surrounding tissue), and more than 1400 received radiation therapy.

After a median reinforcement of just over 8 years, the surveillance group had a much higher death rate from causes other than prostate cancer - 19,2 percent, compared with 6,8 percent in the prostatectomy guild and 10,9 percent in the emission therapy group. This suggests that patients with a shorter life expectancy were more often selected for operative surveillance rather than surgery or radiation therapy, the researchers said.

The patients who underwent surgery for prostate cancer had a humiliate risk of dying from prostate cancer than those in the active reconnaissance group. However, the difference in absolute risk of patients dying from prostate cancer was very measly - only 1,2 percent after 10 years of follow-up.

The researchers concluded that, based on these findings, busy surveillance is the best strategy for many patients with low-risk prostate cancer. "With a 10-year prostate cancer-specific mortality of less than three percent for patients with low-risk prostate cancer on surveillance, this procedure appears to be fitting for many of these men," wrote Dr Par Stattin, of Umea University, and colleagues bestvito. The exploration was published online June 18 in the Journal of the National Cancer Institute.