Sunday, November 15, 2009

Role of Biopsy in Selecting Candidates for AS

Beyond the Abstract - The role of biopsy core number in selecting
prostate cancer patients for active surveillance, by Guillaume
Ploussard, MD and Alexandre de la Taille, MD

The inclusion of patients in AS protocols emphasizes the necessity of
accurate staging strategies. Should all patients submitted to prostate
biopsy be ...subjected to an extensive biopsy strategy? Only prospective
studies comparing biopsy inclusion criteria and biopsy-core number for
AS protocols and comparing AS with immediate radical treatment would be
able to clarify the best candidates for AS according to outcome in
terms of rising PSA and specific deaths. Clinicians, however, clearly
have to deal with the biopsy-core number for treatment decisions and
patient information.
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