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Active surveillance (watchful waiting) for prostate cancer

By Mayo Clinic staff

During active surveillance, no medical treatment is provided — meaning medications, radiation and surgery aren't used. You avoid the risks and side effects associated with other treatment options. Active surveillance may be a good choice if your cancer isn't causing signs and symptoms, is expected to grow very slowly, and is small and confined to one area of your prostate. For this treatment option, you need to be willing to assume the risk that you may possibly miss the window of opportunity for effective treatment.

With active surveillance, periodic prostate-specific antigen (PSA) tests are used to check for signs the cancer is growing. Follow-up prostate biopsies also may be used to evaluate whether there are any changes. If there is a sudden rise in PSA levels or a biopsy reveals an increased grade or aggressiveness of the cancer, you may decide to change your treatment approach.

Active surveillance may be particularly appropriate if you're older or in poor health and your prostate cancer is very small and not very aggressive (low grade). Many men who choose active surveillance live out their normal life span without treatment and without the cancer spreading or causing other problems. However, active surveillance is usually a better choice for older men. Younger men are usually more likely to benefit from a more aggressive treatment approach. Active surveillance may not be the best option for you if you think you'll become overly anxious about your cancer and fear that you may be gambling with your life.

Active surveillance for prostate cancer: Pros and cons Treatment options for prostate cancer

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Feb. 13, 2009

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