EUROPEAN UROLOGY 66 (2014) 386–392
available at www.sciencedirect.com journal homepage: www.europeanurology.com
Word of Wisdom
Re: Radical Prostatectomy or Watchful Waiting in Early Prostate Cancer Bill-Axelson A, Holmberg L, Garmo H, et al. N Engl J Med 2014;370:932–42 Experts’ summary: Prostate cancer is frequently a slowly growing tumor with a low risk of metastatic spread and death from disease. At present, the necessity and timing of a radical prostatectomy (RP) is debated in patients with clinically localized disease [1]. Observation through active surveillance or watchful waiting (WW) is an option for management that better preserves patients’ quality of life while it confers the potential risk of delaying treatment and missing the window of curability [2,3]. Bill-Axelson et al. reported on outcomes of the prospective Scandinavian Prostate Cancer Group Study Number 4 (SPCG-4). A total of 695 men with early prostate cancer (cT1–2, prostate-specific antigen [PSA]
available at www.sciencedirect.com journal homepage: www.europeanurology.com
Word of Wisdom
Re: Radical Prostatectomy or Watchful Waiting in Early Prostate Cancer Bill-Axelson A, Holmberg L, Garmo H, et al. N Engl J Med 2014;370:932–42 Experts’ summary: Prostate cancer is frequently a slowly growing tumor with a low risk of metastatic spread and death from disease. At present, the necessity and timing of a radical prostatectomy (RP) is debated in patients with clinically localized disease [1]. Observation through active surveillance or watchful waiting (WW) is an option for management that better preserves patients’ quality of life while it confers the potential risk of delaying treatment and missing the window of curability [2,3]. Bill-Axelson et al. reported on outcomes of the prospective Scandinavian Prostate Cancer Group Study Number 4 (SPCG-4). A total of 695 men with early prostate cancer (cT1–2, prostate-specific antigen [PSA]
