The Problem Is Not What to Do with Indolent and Harmless Prostate Cancer-The Problem Is How to Avoid Finding These Cancers.

Gandaglia, Giorgio; Briganti, Alberto; Fossati, Nicola; Salonia, Andrea; Mottrie, Alexandre; Catto, James; Montorsi, Francesco · Eur Urol · 2016

editorial · Level V

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Abstract

One of the most effective ways to reduce overtreatment of prostate cancer is to limit its detection in men with low-risk disease. Although many data are currently missing, we foresee a future with reduced prostate-specific antigen (PSA) testing in men selected through baseline PSA values or genetic predisposition. Then selective biopsy using multiparametric magnetic resonance imaging and longitudinal biomarkers will play a role.

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