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Active Surveillance As A Choice?

Posted by desertfalcon1954 @desertfalcon1954, Mar 11 8:13pm

This is very good news. Most men with localised prostate cancer are likely to live for a long time, whether or not they receive invasive treatment and whether or not their disease has spread, so a quick decision for treatment is not necessary and could cause harm.

https://www.ox.ac.uk/news/2023-03-13-study-shows-delaying-treatment-localised-prostate-cancer-does-not-increase-mortality

Interested in more discussions like this? Go to the Prostate Cancer Support Group.

airborn | @airborn | Jun 16 2:37pm
In reply to @mn281 "I'm always skeptical about data like these when they indicate that around 75% of the men..." + (show)
@mn281

I'm always skeptical about data like these when they indicate that around 75% of the men on active surveillance had some type of treatment within the 15 year study period. Was it that treatment that influenced the success rate to a higher degree? Hard to tell when only "around 15%" of the men stayed on AS the whole time. I agree a quick decision is not always needed, but IMO a decision at some point is necessary.

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A decision regarding what? To decide to treat?
Even if the 3tMRI was stable with no changes, and PSA was stable?
In this case the decision should remain AS.

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