Difference between revisions of "Prostate cancer"

Prostate cancer (view source)

22 bytes added , 05:05, 12 February 2013

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 ===Management===
 ====Dirty first approximation====
-The management changes between Gleason 6, 7 & 8; typically, the implications are:
+*The management changes between Gleason score 6, 7 and 8.
-* Gleason 6: watchful waiting ''or'' radioactive seeds; surgery if patient wants.
-* Gleason 7: do something - surgery ''or'' radiation therapy.
+Typically, the implications are:
-* Gleason 8+: bad cancer - do something quickly!
+* Gleason 6: observation ''or'' radioactive seeds; surgery if patient wants.
+* Gleason 7: do something -- surgery ''or'' radiation therapy.
+* Gleason 8+: bad cancer -- do something quickly!
 Bottom line:
@@ Line 35: / Line 37: @@
 =====Active surveillance=====
-One set of criteria (''Klotz''<ref name=pmid22314081/><ref>{{Cite journal  | last1 = Klotz | first1 = L. | title = Active surveillance for prostate cancer: for whom? | journal = J Clin Oncol | volume = 23 | issue = 32 | pages = 8165-9 | month = Nov | year = 2005 | doi = 10.1200/JCO.2005.03.3134 | PMID = 16278468 }}</ref>):
+The ''Klotz'' criteria for active surveillance:<ref name=pmid22314081/><ref>{{Cite journal  | last1 = Klotz | first1 = L. | title = Active surveillance for prostate cancer: for whom? | journal = J Clin Oncol | volume = 23 | issue = 32 | pages = 8165-9 | month = Nov | year = 2005 | doi = 10.1200/JCO.2005.03.3134 | PMID = 16278468 }}</ref>
 *Gleason score 6 or less.
 *All biopsies cores < 50% involvement.