active surveillance
Management strategy for low-risk prostate cancer involving regular monitoring with deferred treatment.
Full Definition
Active surveillance is a management approach for men with low-risk prostate cancer that involves close monitoring with regular PSA testing, digital rectal examinations, and periodic prostate biopsies, with treatment intervention reserved for evidence of disease progression. This strategy aims to avoid or delay the potential side effects of immediate treatment while maintaining the opportunity for cure if cancer progression occurs. Eligibility criteria typically include low-grade tumors (Gleason 6), limited tumor volume, and low PSA levels. Regular reassessment allows for timely intervention if reclassification occurs.
Usage
Usage note: Distinguish from 'watchful waiting' which implies no curative intent.
In Context
- "The patient elected active surveillance for his low-risk prostate cancer." — Treatment decision note
- "Active surveillance protocols require adherence to strict monitoring schedules." — Clinical guideline