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Monitoring of Low-Risk Prostate Cancer May Be The Best Treatment
July 14, 2010: 1 comment(s)
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When a doctor tells a man he has prostate cancer, the fear of death unconsciously grips his soul. But a recent study shows that most men with prostate cancer die from other causes and that the best treatment for low risk patients may be nothing more that active surveillance, or just watching to see if the tumor grows.
The treatment of low risk or localized prostate cancer is controversial. Some of these cancers will progress, but others will not during the life time of the patient; and treatment can have serious and long lasting consequences such as impotency.
A surprise benefit, however, from being diagnosed with the disease may be the wake up call to make lifestyle changes toward better health.
In a study conducted in the Department of Surgical and Perioperative Science at Umea University, Par Stattin, MD and colleagues found that the benefits of removing the prostate gland were not significant in the overall prevention of death in low risk patients. The authors observed, “With 10-year prostate cancer-specific mortality of less that 3% for patients with low-risk prostate cancer on surveillance, this strategy appears to be suitable for many of these men.”
The medical records of over 6800 Swedish men with low or intermediate risk of prostate cancer progression, who received some form of treatment for their tumors, were studied and evaluated. They were all under the age of 70 and received treatment from 1997-2002.
2021 were watched carefully, 3399 had a radical prostatectomy and 1429 were treated with radiation. More men in the surveillance group died, but from other causes. Researchers determined that those with a lowered life expectancy from other causes were watched rather than actively treated for their prostate cancer. The risk between the surgical and surveillance groups after ten years was different only by 1.2% in favor of the surgical group.
Given the fact that prostate cancer is slow growing with a relatively low mortality rate, diagnosis may actually improve your overall health. The authors explain, “A bevy of cancer research has demonstrated that cancer patients are particularly receptive to health-care advice after diagnosis, although older men, like those with prostate cancer, appear to be less receptive to change.”
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Comments (Scroll to the end to leave a comment)
Richard Cross
07/15/10 02:23
Having been recently diagnosed this article has helped to reinforce the decision I made with the assistanc of my doctor and wife not to have the prostate out and to monitor with blood tests and exams on a quarterly basis and to have a biopsy on an annual basis
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