Large-scale randomized trials in early-stage prostate cancer are rare. Data from the recent ProtecT trial enables a cautious endorsement of active monitoring for early-stage, screen-detected prostate cancer: cancer-specific survival was high regardless of treatment approach (monitoring, surgery or radiation). How these findings apply to contemporary prostate cancer care requires careful evaluation.
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Canes, D. Determining optimal therapy of early-stage disease remains complicated. Nat Rev Urol 13, 703–704 (2016). https://doi.org/10.1038/nrurol.2016.228
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DOI: https://doi.org/10.1038/nrurol.2016.228