Prostate cancer is one of the leading diagnoses of cancer in men. Over 250,000 men are diagnosed each year. However, we are learning that not all prostate cancers are a cause of mortality. In fact researchers have found that there are hundreds, if not more micro-genetic variants of prostate cancer. Some are more aggressive, and found at an earlier age, larger volume of cancer, and higher stage. These can be lethal. However, a large number of prostate cancers may be lower stage, lower volume, and detected at an older age. These may be indolent, and may be treated like a disease of natural aging. Following with routine exams, PSA and periodic re-staging/biopsy may be appropriate for some of these patients. This has been called “active surveillance”.
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