"A potential harm of observation is that Prostate cancer may spread if left untreated and could result in prostate cancer death," Wilt acknowledged. By the same token, "Men currently diagnosed with prostate cancer will have even better long-term overall and prostate cancer survival with observation than men enrolled in PIVOT," Wilt said. In the surgery group, 61.4 percent of the men died from all causes and just 7.4 percent in the surgery group died from prostate cancer. "Prostate cancer treatment is an investment at least 10 years into the future," he said by email. Systemic progression and prostate cancer death are rare (about 5 percent) in men with low risk disease and are not decreased by surgery."
Surgery for early-stage prostate cancer does not lead to longer lives, study finds
In fact, he added, the study findings have prompted him to recommend observation over surgery to most of his early-stage prostate cancer patients. After being diagnosed with localized prostate cancer, 364 of the men were randomly assigned to have their prostates and some of the surrounding tissue surgically removed. Since prostate cancer tends to be a fairly slow-moving disease, the pain and side effects of surgery may end up causing more problems than the disease itself. As the longest and largest study of its kind, the results provide powerful information for doctors and their patients, Wilt said. During that time, 7.4% of the men in the surgery group died of prostate cancer, as did 11.4% of the men in the observation group, according to the study.collected by :Lucy William
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