Harvard Perspectives on Prostate Disease

When to consider active surveillance

Which men are candidates for delaying prostate cancer treatment?

Increasing evidence suggests that men at low risk for cancer progression "" including many of those with small tumors detected only through PSA screening "" should consider a strategy of active surveillance rather than treatment. If you have just been diagnosed with early-stage prostate cancer and are debating the options, should you consider active surveillance?

The studies have produced mixed results, as explained in more detail below. But a 2005 review in the Journal of Oncology proposed a set of guidelines that may be helpful in designing a strategy of active surveillance. Table 3 outlines the suggested parameters.

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