Be Active About Surveillance
By Heather Stringer
No blanket recommendation exists for active surveillance of men whose prostate cancer has a low risk of progressing.
Guidelines developed by the American Society of Clinical Oncology recommend:
• a PSA test every three to six months;
• a digital rectal exam (DRE) at least every year; and
• a confirmatory biopsy within six to 12 months and follow-up biopsies every two to five years, or more frequently if necessary.
Guidelines developed by the National Comprehensive Cancer Network recommend:
• PSA testing no more often than every six months;
• a DRE no more often than every 12 months; and
• a prostate biopsy no more often than every
Men should speak with their doctors to determine the surveillance schedule that is right for them.