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Forward Look

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 
12 months.

Men should speak with their doctors to determine the surveillance schedule that is right for them.


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