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Medical Forum / Diseases and Disorders / Prostate Cancer / October 2007Definition "Watchful Waiting"
An approach to the management of benign prostatic hyperplasia (BPH) or prostate cancer in which no treatment is immediately attempted, but the patient is carefully monitored. Also known as expectant management. www.johnshopkinshealthalerts.com/reports/prostate_disorders/931-1.html This is one of many definitions I found concerning the term Watchful Waiting. I was curious on the definition so I looked it up. jloomis > An approach to the management of benign prostatic hyperplasia (BPH) or > prostate cancer in which no treatment is immediately attempted, but the [quoted text clipped - 5 lines] > I was curious on the definition so I looked it up. > jloomis Another term for it is "active surveillance," which I rather like -- it underscores the fact that you are not just waiting, but are actively tracking any changes in your condition (e.g. by frequent PSA tests, ultrasound, biopsies, etc.) To me, "watchful waiting" sounds like something you'd do while sitting on a bar stool. (g) Alex jloomis, Your link didn't come through on my site so I'll show it again. http://urology.jhu.edu/newsletter/prostate_cancer69.php Ron S. This is a Japanese study that says about the same thing as other studies have on the subject of watchful waiting; http://jjco.oxfordjournals.org/cgi/content/full/33/1/1 It also states that if one has "well differentiated" not "moderately differentiated" low volume tumor and doubling time over two years then watchful waiting or active surveillance may be an appropriate option. Emphasis is on "low volume (< 50% in 1 or 2 cores) and ">2 years doubling time." Ron S. This is a Japanese study that says about the same thing as other studies have on the subject of watchful waiting; http://jjco.oxfordjournals.org/cgi/content/full/33/1/1 It also states that if one has "well differentiated" not "moderately differentiated" low volume tumor and doubling time over two years then watchful waiting or active surveillance may be an appropriate option. Emphasis is on "low volume (< 50% in 1 or 2 cores) and ">2 years doubling time." Ron S. |
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