In most cases, active surveillance is a good choice for older men with low-risk prostate cancer who have a life expectancy of less than 10 years. You might also consider active surveillance if you need to consider treatment for other reasons (for example, side effects from other treatments), if your doctor recommends it, or if you are concerned about the risks or long-term side effects of treatments.
Some men might not be able to follow this approach because:
People who choose active surveillance must understand that they are risking missing their best chance to get rid of the cancer without suffering long-term side effects. For most patients, this means an increased chance of treatment over time. In some cases, the cancer might grow beyond the prostate before it’s recognized. If active surveillance is chosen, a decision should be made to treat the cancer if it begins to grow.
Active surveillance is not right for everyone with low-risk prostate cancer. If you are eligible for active surveillance and decide to enroll in this approach, you will work with your doctor and your family to develop a plan that includes regular checkups and tests over time. You may need special support from a behavioral therapist or social worker or other health professional during this period.