Active surveillance for low-risk prostate cancer

被引:2
作者
Hadjipavlou, Marios [1 ]
Promponas, John [1 ]
Madaan, Sanjeev [1 ]
机构
[1] Darent Valley Hosp, Dept Urol & Nephrol, Darenth Wood Rd, Dartford DA2 8DA, Kent, England
关键词
Active surveillance; prostate cancer; review; management; protocols; selection criteria; quality of life;
D O I
10.1177/2051415815592816
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
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.
引用
收藏
页码:420 / 428
页数:9
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