For prostate cancer, monitoring is an option, but higher metastasis rate is a risk
8 years, 6 months ago

For prostate cancer, monitoring is an option, but higher metastasis rate is a risk

LA Times  

Among otherwise healthy younger men with an early diagnosis of prostate cancer, foregoing aggressive treatment in favor of active monitoring spares patients an abrupt disruption of sexual and urinary function, new research shows. But the investigators, who reported their findings Wednesday in the New England Journal of Medicine, did discern a weak but troubling trend among men over 65 who got monitoring over treatment: At the 10-year mark, they were slightly more likely to have died of prostate cancer than were men of the same age and stage of cancer at diagnosis who underwent treatment instead. Prostate cancer remains the most common cancer in men, and with so many men choosing to defer treatment, physicians needed evidence that the practice is safe, said Saigal. The Protect Trial findings made clear that, for men 50 to 69 years old who received a diagnosis of localized prostate cancer, the odds of dying of that cancer over the next 10 years were pretty slim: In a group of 2,264 trial participants, 169 died during the follow-up period of any cause.

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