Skip to main content

Prostate cancer: the new landscape.

Publication ,  Journal Article
Moul, JW; Mouraviev, V; Sun, L; Schroeck, FR; Polascik, TJ
Published in: Curr Opin Urol
March 2009

PURPOSE OF REVIEW: This review highlights current features of the changing landscape of the US population with newly diagnosed prostate cancer and discusses new treatment options utilizing noninvasive or minimally invasive management. RECENT FINDINGS: Recent evidence of significant changes in the current prostate cancer landscape is based on clinical data and pathological specimens after radical prostatectomy that suggest a further increase of the low-risk patient population that may require reconsideration of treatment options. For a select cohort of patients with low-risk features, based on the D'Amico definition, active surveillance or focal ablative therapy may be a rational alternative to surgical prostatectomy or whole-gland radiation therapy that still dominate as the main treatment approaches for localized prostate cancer. SUMMARY: As the prostate-specific antigen era continues to mature, we continue to witness stage migration. A growing segment of the localized prostate cancer patient population has very low-volume, low-grade disease. Although active surveillance may be an appropriate approach for a selected group of patients, the progression requiring whole-gland therapy remains a challenge. Organ-sparing focal therapy might ideally fill the gap between a surveillance strategy and whole-gland treatment providing a reasonable balance between cancer control and quality of life.

Duke Scholars

Published In

Curr Opin Urol

DOI

EISSN

1473-6586

Publication Date

March 2009

Volume

19

Issue

2

Start / End Page

154 / 160

Location

United States

Related Subject Headings

  • Urology & Nephrology
  • Prostatic Neoplasms
  • Prostate-Specific Antigen
  • Population Surveillance
  • Mass Screening
  • Male
  • Humans
  • Early Diagnosis
  • Age Factors
  • 3202 Clinical sciences
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Moul, J. W., Mouraviev, V., Sun, L., Schroeck, F. R., & Polascik, T. J. (2009). Prostate cancer: the new landscape. Curr Opin Urol, 19(2), 154–160. https://doi.org/10.1097/mou.0b013e328323f5d6

Published In

Curr Opin Urol

DOI

EISSN

1473-6586

Publication Date

March 2009

Volume

19

Issue

2

Start / End Page

154 / 160

Location

United States

Related Subject Headings

  • Urology & Nephrology
  • Prostatic Neoplasms
  • Prostate-Specific Antigen
  • Population Surveillance
  • Mass Screening
  • Male
  • Humans
  • Early Diagnosis
  • Age Factors
  • 3202 Clinical sciences