Is active surveillance safe at 70 for prostate cancer?

Question

Hello doctor,

I am a 70-year-old man with prostate cancer (Gleason score 6) and a PSA of 7.2 ng/mL. My doctor suggested active surveillance, but I am worried it might progress. I also take Lisinopril for high blood pressure.

An MRI showed a suspicious spot in my prostate, and my doctor may do a second biopsy. Are there other treatments or things I should watch for to catch any changes early?

Kindly help.

Answer 1

Hello,

Welcome to icliniq.com.

I can understand your concern.

For low-risk prostate cancer with a Gleason score of 6, active surveillance is often recommended. This approach involves regular monitoring through PSA (prostate-specific antigen) levels, repeat biopsies, digital rectal exams, and magnetic resonance imaging to track any changes. A second biopsy may be advised to confirm the diagnosis and ensure no progression.

In addition to active surveillance, treatments like high-intensity focused ultrasound (HIFU) or cryotherapy can be considered. These target only cancerous areas, minimizing side effects. For localized cancers, brachytherapy (low-dose radiation) may also be an option, while external beam radiation therapy (EBRT) is typically used for higher-risk cases.

Please let me know if there is anything else that I can help you with.

Thank you.

.