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Updated: Jun 14, 2026

A New Technique for Treating Low-risk Prostate Cancer—Super Active Surveillance
Published on: November 7, 2025
Early management of prostate cancer
1Mater Hospital, Sydney, New South Wales. michael.izard@cancer.com.au
Abstract:
Prostate cancer is now the commonest cancer diagnosed in Australia. In 2005 there were 5913 men diagnosed with prostate cancer in New South Wales alone (31% of male cancers; 17% of all cancers). However, that year there were only 980 deaths from prostate cancer in NSW, and so prostate cancer dropped to be the fourth commonest cause of cancer death, ahead of breast cancer with 877 deaths. This discrepancy is a major cause of the angst experienced in the detection and management of prostate cancer. What is needed is a way to separate the significant prostate cancers from the insignificant ones, and accept that identifying them is a very different issue to managing them aggressively.
Insights
Prostate cancer is the most common cancer in Australia, yet has a low mortality rate. Differentiating significant prostate cancers from insignificant ones is crucial for effective detection and management strategies.
Area of Science:
- Oncology
- Public Health
Background:
- Prostate cancer is the most frequently diagnosed cancer in Australian men.
- In 2005, New South Wales (NSW) diagnosed 5913 prostate cancer cases, representing 31% of male cancers.
- Despite high diagnosis rates, prostate cancer was the fourth leading cause of cancer death in NSW in 2005.
Purpose of the Study:
- To address the discrepancy between high prostate cancer incidence and relatively low mortality.
- To highlight the need for methods to distinguish clinically significant prostate cancers from indolent ones.
Main Methods:
- Statistical analysis of cancer diagnosis and mortality data from New South Wales, Australia.
- Comparison of prostate cancer incidence and mortality rates with other cancers.
Main Results:
- Prostate cancer incidence significantly outweighs its mortality, causing diagnostic and management anxiety.
- A notable gap exists between the number of prostate cancer diagnoses and deaths.
Conclusions:
- Effective management of prostate cancer requires differentiating between significant and insignificant disease.
- Improved methods are needed to identify clinically relevant prostate cancers, separating detection from aggressive treatment decisions.
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