Navigation Links
'Watchful Waiting' Often Best Strategy for Slow-Moving Prostate Cancer

Surgery, radiation not always ideal for many with low risk disease, researchers find

FRIDAY, June 18 (HealthDay News) -- For patients with prostate cancer that has a low risk of progression, active surveillance, also known as "watchful waiting," may be a suitable treatment option, according to a large-scale study from Sweden.

The issue of how (or whether) to treat localized prostate cancer is controversial because, especially for older men, the tumor may not progress far enough to cause real trouble during their remaining expected lifespan. In those cases, deferring treatment until there are signs of disease progression may be the better option.

The researchers looked at almost 6,900 patients from the National Prostate Cancer Registry Sweden, age 70 or younger, who had localized prostate cancer and a low or intermediate risk that the cancer would progress. From 1997 through December 2002, over 2,000 patients were assigned to active surveillance, close to 3,400 underwent radical prostatectomy (removal of the prostate and some surrounding tissue), and more than 1,400 received radiation therapy.

After a median follow-up of just over 8 years, the surveillance group had a much higher death rate from causes other than prostate cancer -- 19.2 percent, compared with 6.8 percent in the prostatectomy group and 10.9 percent in the radiation therapy group.

This suggests that patients with a shorter life expectancy were more often selected for active surveillance rather than surgery or radiation therapy, the researchers said.

The patients who underwent surgery for prostate cancer had a lower risk of dying from prostate cancer than those in the active surveillance group. However, the difference in absolute risk of patients dying from prostate cancer was very small -- only 1.2 percent after 10 years of follow-up.

The researchers concluded that, based on these findings, active surveillance is the best strategy for many patients with low-risk prostate cancer.

"With a 10-year prostate cancer-specific mortality of less than three percent for patients with low-risk prostate cancer on surveillance, this strategy appears to be suitable for many of these men," wrote Dr. Par Stattin, of Umea University, and colleagues.

The study was published online June 18 in the Journal of the National Cancer Institute.

More information

The U.S. Agency for Healthcare Research and Quality has more about treatment of localized prostate cancer.

-- Robert Preidt

SOURCE: Journal of the National Cancer Institute, June 18, 2010, news release.

Copyright©2010 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Waiting to Clamp the Umbilical Cord May Be Better for Babies
2. Waiting Safe for Some at Risk of Glaucoma
3. Xyngular™ Distributors Continue Waiting For Xyngular Xyng™ As Zija's XM3™ "Happy Pill" Reaches Record Sales
4. Trustmark and HealthFitness Announce Early Termination of Hart-Scott-Rodino Waiting Period
5. Get Vaccinated Against a Second Wave of H1N1 Flu for Only $15 And no Waiting in Long Lines
6. Women Arent Waiting to Seek Infertility Help
7. Lymphoma Survivors Often Miss Out on Follow-Up
8. UNC study helps explain why black patients with lung cancer have surgery less often than whites
9. Most Doctors Giving Pap Test Too Often
10. Putting New Medical Guidelines Into Practice Often Difficult
11. Major Depression Often Follows Brain Injury
Post Your Comments:
Related Image:
'Watchful Waiting' Often Best Strategy for Slow-Moving Prostate Cancer
(Date:12/1/2015)... York, NY (PRWEB) , ... December 01, 2015 ... ... epidemic in the 1980s we have seen vast improvements in scientific research and ... made significant strides, providing increased hope and relief to those affected by HIV/AIDS. ...
(Date:12/1/2015)... ... December 01, 2015 , ... It’s official: Tattoo taboo is a thing of ... greater among Millennials (a whopping one in three aged 18 to 25 is inked). ... dissatisfied with their ink. In fact, RealSelf , the world’s largest community for ...
(Date:12/1/2015)... ... December 01, 2015 , ... Diabetic foot wounds ... Podiatrists are well aware that psychology-based patient non-compliance (disobedience of a health care ... to diseases of the diabetic foot. The American Board of Multiple Specialties ...
(Date:12/1/2015)... (PRWEB) , ... December 01, 2015 , ... ... facilities, radiographic technicians must mark the film for accurate interpretation by the radiologist. ... of. Fortunately, an inventor from Sacramento, Calif., has found a way to alleviate ...
(Date:12/1/2015)... (PRWEB) , ... December 01, 2015 , ... ... , Visage Imaging Inc. (“Visage”), a wholly owned subsidiary of Pro Medicus Ltd. ... results enhancements at the Radiological Society of North America (RSNA) 2015 annual meeting ...
Breaking Medicine News(10 mins):
(Date:12/1/2015)... 1, 2015   Nottingham Spirk , a ... the publication of a free whitepaper , ... Market". The whitepaper gives medical product companies, pharmaceutical ... this lucrative segment. Nottingham Spirk ... manage their own health, save money (i.e., fewer ...
(Date:12/1/2015)... Dec. 1, 2015  Eyeon Therapeutics has received ... eye treatments based on a charged hydrophilic polymer ... CDMO.  The product has been shown to be ... published.  Mark Mitchnick , MD, CEO states, ... to additional polymers in conjunction with a therapeutic ...
(Date:12/1/2015)... Colo. , Dec. 1, 2015 /PRNewswire/ ... ) today announced that its Chief Executive ... at the Oppenheimer Annual Healthcare Conference in ... participate in the conference through a webcast ... , --> ...
Breaking Medicine Technology: