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Updated: May 2, 2026
05:19
A New Technique for Treating Low-risk Prostate Cancer—Super Active Surveillance
Published on: November 7, 2025
1.1K
Focal therapy for prostate cancer. Alternative treatment
F Gómez-Veiga1, S Martínez-Breijo1, E Solsona-Narbón2
1Servicio de Urología, Hospital Universitario de Salamanca y Complejo Hospitalario Universitario de A Coruña, A Coruña, España.
Actas Urologicas Espanolas
|March 12, 2014
Summary
Focal therapy offers an alternative for localized prostate cancer treatment. Further prospective studies are needed to refine patient and tumor selection criteria for optimal outcomes.
Area of Science:
- Oncology
- Urology
Background:
- Localized prostate cancer treatment involves a debate between radical options and active surveillance.
- Focal therapy presents a developing alternative within this treatment landscape.
Purpose of the Study:
- To analyze the rationale for selecting patients and tumors for current focal therapy modalities.
- To review the advantages and disadvantages of focal therapy for localized prostate cancer.
Main Methods:
- A review of current articles on localized prostate cancer treatment options.
- MEDLINE search for information on focal therapy, tumor selection, characteristics, and indications.
Main Results:
- Standardized criteria for focal therapy include low-risk tumors, PSA < 10-15, Gleason score ≤ 6, and unilateral presentation, confirmed by image-guided biopsy and NMR.
- Suitability of focal therapy is uncertain for bilateral cases or those with Gleason score 3+4 or PSA > 15.
Conclusions:
- Focal therapy is a viable alternative for localized prostate cancer.
- Prospective studies are essential to clarify diagnostic and selection criteria for focal therapy indications.
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