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Should Older Prostate Cancer Patients Jump Off the Active Surveillance Train?
Come December, as I observe my "pros-mitzvah" -- 13 years on active surveillance (AS) for very low-risk prostate cancer -- I feel I'm at a tipping point.
Should I stay the course and keep monitoring my lesion -- a single Gleason 6 of less than 1 mm seen back in 2010 and never again in five other biopsies -- with annual or semiannual prostate-specific antigen (PSA) blood tests?
Or should I hop off the AS train? Should I make a symbolic move with a PSA jailbreak and end the cancer search?
Michael Leapman, MD, MHS, clinical lead in prostate cancer at Yale Cancer Center in New Haven, Connecticut, said: "There's no script for what to do 10-plus years without reclassification [of the Gleason score]."
Source: MedPage Today