Prostate cancer management: (1) an update on localised disease.

Abstract:

:Prostate cancer is receiving ever more publicity with the result that more men are having their prostate specific antigen checked and a greater proportion of men are diagnosed with potentially curable localised disease. Advances in the therapeutic modalities including radical surgery, external beam radiotherapy, and brachytherapy have reduced the incidence of side effects and now offer patients a choice of treatments depending on their tumour characteristics, age, and co-morbidity. A significant proportion of men do not need intervention and may be safely kept under a "watch and wait" policy. The use of genetic markers may in the future distinguish between patients most likely to benefit from radical therapy and those in who either palliation or observation is more appropriate. This review examines the potentially curative options, as well as expectant management, outlining the pros and cons of each. The use of adjuvant and neoadjuvant therapy is also discussed.

journal_name

Postgrad Med J

authors

Bott SR,Birtle AJ,Taylor CJ,Kirby RS

doi

10.1136/pmj.79.936.575

subject

Has Abstract

pub_date

2003-10-01 00:00:00

pages

575-80

issue

936

eissn

0032-5473

issn

1469-0756

journal_volume

79

pub_type

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