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Active Surveillance: Pathologic and Clinical Variables Associated with Outcome
1Department of Medical Oncology, Dana-Farber Cancer Institute, 450 Brookline Avenue, D1230, Boston, MA 02115, USA.
Active surveillance is a key option for low-risk prostate cancer, preserving quality of life. New biomarkers and imaging can improve risk assessment for selecting ideal candidates for this approach.
Area of Science:
- Oncology
- Urology
Background:
- Active surveillance is increasingly used for low-risk prostate cancer.
- Curative treatments carry significant morbidity, impacting quality of life.
- Active surveillance aims to maintain quality of life by avoiding treatment for indolent disease.
Purpose of the Study:
- To highlight the need for improved risk stratification metrics in active surveillance for prostate cancer.
- To discuss the potential of emerging biomarkers and imaging technologies in identifying suitable candidates.
Main Methods:
- Review of current practices in active surveillance for prostate cancer.
- Discussion of existing pathologic and clinical variables for risk assessment.
- Exploration of novel biomarker and imaging technologies.
Main Results:
- Current methods using pathologic and clinical data aid in determining active surveillance suitability.
- Emerging biomarkers and advanced imaging show promise for more precise risk assessment.
- Improved metrics are crucial for expanding the safe application of active surveillance.
Conclusions:
- Active surveillance is a valuable management strategy for low-risk prostate cancer.
- Enhanced risk assessment tools are essential for optimizing candidate selection.
- Future research should focus on validating new biomarkers and imaging for active surveillance.
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