NCCN expands role for active surveillance in initial management of localized prostate cancer

In its most recent update to its guidelines on the management of prostate cancer, the National Comprehensive Cancer Network (NCCN) has now stated that active surveillance is a first-line option for the management of favorable, intermediate-risk prostate cancer. … READ MORE …

Development of a standardized commercial test to “score” patients as eligible for active surveillance

A new paper to be presented at the Genitourinary Prostate Cancer Symposium has proposed development of a standardized method to “score” whether patients are suitable candidates for initial management on active surveillance. … READ MORE …

Projecting the need for confirmatory biopsies in candidates for active surveillance

A newly published paper from the Memorial Sloan-Kettering Cancer Center group in New York has proposed a predictive model which might allow a high percentage of candidates for active surveillance as initial management to skip a second, confirmatory biopsy after initial diagnosis. … READ MORE –

From the past to the future … the appropriate use of active monitoring

A new article just published in the journal Cancer concludes that “active surveillance is underused” in the management of low-risk prostate cancer. However, one has to be careful about how one interpret the data in (and the conclusions of) this particular article. … READ MORE …

Do African Americans with low-risk prostate cancer have lower PSA density than comparable Caucasians?

There have been a number of suggestions (as yet unproven) that African American men (and perhaps other men of black African ethnicity) may be less good candidates for active surveillance than men of Caucasian and Hispanic ethnicity. … READ MORE …

Post-surgical pathology, active surveillance, and selection of appropriate candidates for expectant management

An interesting — if unsurprising — new set of data in the Journal of Korean Medical Science has again shown that most of the current “standard” sets of criteria for selection of patients aren’t even close to being perfect at identification of “the surgically ideal” patients for management on active surveillance. … READ MORE …

What percentage of prostate cancer patients are really good candidates for active surveillance?

In addition to the new data from Johns Hopkins, reported earlier this week, that were highly supportive of active surveillance as a first-line management strategy for “favorable-risk” prostate cancer, another recent study has suggested that as many as 67 percent of newly diagnosed patients may be good candidates for such first-line management. … READ MORE …

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