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Are there any factors which would lead you away from recommending active surveillance in low risk prostate cancer?

For example, if the patient has low PSA, Gleason 6 disease but has high volume (>50% positive cores) would that discourage you from recommending active surveillance?
1 Answer
Mednet Member
Mednet Member
Radiation Oncology · Brigham and Women's Hospital
Answered on

A healthy male with a BrCa mutation

Or

Any male with at least 50% + bxs

Or

The presence of Perineural invasion

Or

PSA density more then 0.30 may be a new indication after the AUA this year

Would prompt a mpMRI and then fusion bx of any PiRADS 3,4 or 5 areas to rule out grade 4 pc

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