Prostate cancer is among the most common cancers in men, making up more than
a quarter of diagnoses and accounting four seven
per cent of cancer deaths in the UK. Among the updated recommendations, is a new protocol for active surveillance. This
is a way of monitoring slow-growing prostate cancers that might never progress
or cause any symptoms, and can help avoid or delay treatment such as
radiotherapy or surgery which might otherwise be unnecessary.
NICE recommends that doctors should offer active
surveillance for men with low-risk localised prostate cancer for whom radical
prostatectomy or radical radiotherapy is suitable.
The protocol recommends measuring PSA levels every 3-4 months in the first
year of surveillance, and then at increasing intervals if there is no evidence
of disease progression.
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