Gleason Pattern 4: Active Surveillance or Focal Laser Ablation?
The strategy of using active surveillance (AS) is increasingly recommended to low-risk prostate cancer
(PCa) patients as a way to avoid or delay overtreatment. This is a new way of thinking; before the New
Millennium, PCa was assumed to be multi-focal and most men with more than 10 years of life
expectancy were hurried into surgery or radiation. Today’s terminology includes words that might have
been meaningless a decade ago, e.g. indolent cancer, very low risk disease, and focal disease are all
consistent with the growing movement toward AS. keep reading