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Ignoring Prostate Cancer Entirely

Prostate Cancer | Last Active: 2 hours ago | Replies (32)

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@northoftheborder

I'm surprised to hear that you're not seeing positive comments about active surveillance. It's not the same as ignoring cancer, and is a mainstream recommendation these days for patients with low-grade cancer (Gleason 6 or below, confined to the prostate, with no other risk factors like the BRCA1/2 mutation) or elderly patients who likely have less than 10 years remaining.

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Replies to "I'm surprised to hear that you're not seeing positive comments about active surveillance. It's not the..."

….don’t forget to add select patients with low volume 3+4 Gleason to the latest group of PCa men who now are being recommended to start AS.
https://musicurology.com/programs/prostate/active-surveillance/
MUSIC (Michigan Urological Surgery Improvement Collaborative) has been one of the most successful U.S. programs for Active Surveillance. Over 90% of patients with low-risk prostate cancer in its program go on AS vs. 60% nationally. Likewise, MUSIC has been successful in offering AS to patients with favorable intermediate-risk prostate cancer at a rate of about 45% compared with 20% nationally.

Here’s a video of the latest AS developments, from February 2025