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Related Concept Videos

Disorders of the Male Reproductive System01:20

Disorders of the Male Reproductive System

Men's health issues are increasingly recognized as significant, with several conditions posing common threats. Among these, testicular cancer is especially prevalent in younger men, particularly those aged 20 to 35 years. The disease often manifests as a painless mass in the testicles, sometimes accompanied by a sensation of heaviness or a dull ache.
Prostate disorders are another major concern. These conditions can impair urinary flow due to the prostate's location around the urethra. Symptoms...

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Updated: Jun 3, 2026

A New Technique for Treating Low-risk Prostate Cancer—Super Active Surveillance
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A New Technique for Treating Low-risk Prostate Cancer—Super Active Surveillance

Published on: November 7, 2025

Advanced prostate cancer.

S W Waxman1, E D Crawford

  • 1Oncology Fellow, Division of Urology, University of Colorado Health Sciences Center, Denver, Colorado.

Surgical Technology International
|March 15, 2011
PubMed
Summary
This summary is machine-generated.

Advanced prostate cancer definition is evolving. It now includes patients with locally advanced or metastatic disease, rising PSA, or high Gleason grade, indicating significant progression risk.

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Area of Science:

  • Oncology
  • Urology

Background:

  • Prostate cancer is a leading cause of cancer death in US men.
  • Traditionally, advanced prostate cancer meant bony metastases, but definitions are changing.
  • Over 50% of newly diagnosed patients present with locally advanced or metastatic disease (T3, N+, or M+).

Purpose of the Study:

  • To redefine the concept of advanced prostate cancer based on current diagnostic and management practices.
  • To identify patient groups at significant risk of progression and death.

Main Methods:

  • Review of traditional definitions of advanced prostate cancer.
  • Inclusion of new criteria such as rising prostate-specific antigen (PSA) and high Gleason grade.

Main Results:

  • 68% of patients with advanced prostate cancer respond to androgen withdrawal therapies.
  • Median survival for metastatic disease is 1.8 years.
  • Limited response to chemotherapy after hormonal therapy relapse.

Conclusions:

  • The definition of advanced prostate cancer should encompass not only metastatic disease (Stage D-2) but also locally advanced disease (Stage C, T-3), nodal involvement (Stage D-1, N+), rising PSA post-treatment, and high Gleason scores (9-10).
  • These broader criteria identify patients at high risk for prostate cancer progression and mortality.