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What are the treatment options for prostate cancer?


Active surveillance involves very close PSA monitoring and repeated biopsies with intervention if the grade, PSA or volume of cancer changes during surveillance. Recently, a high-quality trial (ProtecT) assessed comparative efficacy of active monitoring, radical prostatectomy and radiotherapy in 1,643 men who were randomized to the three treatment options. At 10 years, there was no significant difference in the risk of dying from prostate cancer among the three groups. However, higher rates of cancer progression and metastatic disease were seen in patients randomized to active monitoring.


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