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Monitoring can be the right choice for local prostate cancer, study suggests

Date:
June 23, 2010
Source:
Expertanswer
Summary:
Monitoring can be the best treatment for men with prostate cancer of the low-risk type, according to a new study.
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Monitoring can be the best treatment for men with prostate cancer of the low-risk type, according to a study now being published in the Journal of the National Cancer Institute. The lead author is Pär Stattin, a urologist at Umeå University.

How local prostate cancer, that is, cancer that has not spread outside the prostate gland, should be treated is a controversial issue. In many cases such tumors grow only very slowly, and one treatment strategy is to monitor them rather than to actively intervene directly.

Pär Stattin and his associates evaluated the outcomes for 6,849 men aged up to 70 years in the Swedish National Prostate Cancer Registry (NPCR) who had a local tumor with low or moderately high risk of spreading. During the years 1997-2002 monitoring of 2,021 of these men commenced, while 3,399 had their prostate gland surgically removed and 1,429 received radiation treatment.

With a median follow-up time of over 8 years, the researchers find that the risk of dying of prostate cancer within ten years was a total of 3.6 % in the group that was monitored (2.4 % with low-risk tumors and 5.2 % with tumors of moderately high risk) and somewhat lower among men who underwent active treatment: 2.5 % among those who were operated on and 3.3 % among those receiving radiation. The risk of dying from causes other than cancer was nearly twice as high among men who were monitored, which indicates that men with other conditions and shorter estimated remaining lifetimes were monitored more often than more healthy men.

The authors of the study conclude that monitoring of tumor development is the best alternative for many men with local prostate cancer of the low-risk type. Besides Pär Stattin, co-authors are Erik Holmberg and Jonas Hugosson, both with the Sahlgrenska Academy, Gothenburg University; Jan-Erik Johansson, University Hospital in Örebro; Lars Holmberg, King's College, London, UK; and Jan Adolfsson, Karolinska institute.


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The above post is reprinted from materials provided by Expertanswer. Note: Materials may be edited for content and length.


Journal Reference:

  1. P. Stattin, E. Holmberg, J.-E. Johansson, L. Holmberg, J. Adolfsson, J. Hugosson. Outcomes in Localized Prostate Cancer: National Prostate Cancer Register of Sweden Follow-up Study. JNCI Journal of the National Cancer Institute, 2010; DOI: 10.1093/jnci/djq154

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Expertanswer. "Monitoring can be the right choice for local prostate cancer, study suggests." ScienceDaily. ScienceDaily, 23 June 2010. <www.sciencedaily.com/releases/2010/06/100623085833.htm>.
Expertanswer. (2010, June 23). Monitoring can be the right choice for local prostate cancer, study suggests. ScienceDaily. Retrieved August 5, 2015 from www.sciencedaily.com/releases/2010/06/100623085833.htm
Expertanswer. "Monitoring can be the right choice for local prostate cancer, study suggests." ScienceDaily. www.sciencedaily.com/releases/2010/06/100623085833.htm (accessed August 5, 2015).

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