A 70-year-old gentleman underwent TURP. Prostate specimen showed malignant histology. What is the next step?
T1 disease: These are incidentally found tumours in a clinically benign gland after histological examination of a prostatectomy specimen.For men in their 70s with low-risk disease, conservative treatment would usually be the correct approach.Low-risk prostate cancer (low PSA, small foci of Gleason6 disease) can be managed by active surveillance. Here, with 3- to 6-monthly digital rectal examination (DRE) and PSA measurement and repeated prostate biopsy.Bailey and Love 27e pg: 1473
Radical Prostatectomy
Active surveillance
External beam radiotherapy
Bilateral orchiectomy
Urology