Men in the monitoring group had regular blood tests and some went on to have surgery or radiation.ĭeath from prostate cancer occurred in 3.1% of the active-monitoring group, 2.2% in the surgery group, and 2.9% in the radiation group, differences considered statistically insignificant.Īt 15 years, cancer had spread in 9.4% of the active-monitoring group, 4.7% of the surgery group and 5% of the radiation group. The patients’ cancer was confined to the prostate, a walnut-sized gland that’s part of the reproductive system. men who agreed to be randomly assigned to get surgery, radiation or active monitoring. Researchers followed more than 1,600 U.K. Instead, they should “consider carefully the possible benefits and harms caused by the treatment options.”Ī small number of men with high-risk or more advanced disease do need urgent treatments, he added. Freddie Hamdy of the University of Oxford. Men diagnosed with localized prostate cancer shouldn’t panic or rush treatment decisions, said lead author Dr. Britain’s National Institute for Health and Care Research paid for the research. The results were published Saturday in the New England Journal of Medicine and presented at a European Association of Urology conference in Milan, Italy. And prostate cancer survival for all three groups was high - 97% regardless of treatment approach. “There was no difference in prostate cancer mortality at 15 years between the groups,” Loeb said. Most prostate cancer grows slowly, so it takes many years to look at the disease’s outcomes. The study directly compared the three approaches - surgery to remove tumors, radiation treatment and monitoring. Stacy Loeb, a prostate cancer specialist at NYU Langone Health who was not involved in the research. The results, released Saturday, are encouraging for men who want to avoid treatment-related sexual and incontinence problems, said Dr. (AP) - Researchers have found long-term evidence that actively monitoring localized prostate cancer is a safe alternative to immediate surgery or radiation.
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