Results of active surveillance in low-risk localized prostate cancer patients

Volume: 53 Number: 2 June 1, 2014
  • Ün S
  • Koca O
  • Türk H
  • Tarhan H
  • Divrik R T
Ege Journal of Medicine Cover
Ege Journal of Medicine
PDF Download
EN TR

Results of active surveillance in low-risk localized prostate cancer patients

Abstract

Aim: To evaluate the results of active surveillance in low-risk prostate cancer patients. Materials and Methods: Patients who have been diagnosed with low-risk localized prostate cancer and accepted the active surveillance treatment option were included in the study. These patients were followed with PSA and DRE (digital rectal examination) examinations every three months and an annual 12-core prostate biopsy in our clinic. Increased risk and patient's preference determined the decision for curative treatment. Results: Data from 20 of the 45 patients under the active surveillance program and those who had at least one re-biopsy result were prospectively examined. The average follow-up period was 46 months (range 12-144 months). Six out of 20 patients (30%) were treated with curative intent. Due to an increase in Gleason score, 4 patients (20%), and 2 patients (10%), due to their own preferences, received curative treatment. Five (29.4%) of the active surveillance patients underwent curative treatment within the first year, and 1 patient (5.8%) within the second year. The mean period in undergoing treatment was 14 months. Conclusion: In low-risk patients, active surveillance ensures protection to the upmost degree from possible complications, without losing the chance of curative treatment. For this group of patients it is an acceptable alternative in terms of compliance with treatment.

Keywords

Details

Primary Language

Turkish

Subjects

-

Journal Section

-

Authors

Ün S

Koca O

Türk H

Tarhan H

Divrik R T

Publication Date

June 1, 2014

Submission Date

June 1, 2014

Acceptance Date

-

Published in Issue

Year 2014 Volume: 53 Number: 2

DOI

https://doi.org/10.19161/etd.344056

IZ

https://izlik.org/JA52CA42GA

Cite

RIS / Bibtex
Vancouver
1.Ün S, Koca O, Türk H, Tarhan H, Divrik R T. Düşük risk lokalize prostat kanserli hastalarda aktif izlem sonuçlarımız. EJM. 2014 Jun. 1;53(2):75-8. doi:10.19161/etd.344056

Ege Journal of Medicine enables the sharing of articles according to the Attribution-Non-Commercial-Share Alike 4.0 International (CC BY-NC-SA 4.0) license.