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New Guidelines on Follow-Up Care for Prostate Cancer Survivors — Physician’s First Watch

Medical News |
June 12, 2014

New Guidelines on Follow-Up Care for Prostate Cancer Survivors

By Kelly Young

Edited by Susan Sadoughi, MD, and Lorenzo Di Francesco, MD, FACP, FHM

The American Cancer Society has issued its first set of guidelines for the long-term care of prostate cancer survivors in the primary care setting. Among the recommendations, published in CA: A Cancer Journal for Clinicians:

  • Serum prostate-specific-antigen (PSA) levels should be assessed every 6 to 12 months for the first 5 years, then measured annually. Patients with elevated or rising PSAs should be referred to their primary treating specialists.

  • Patients should be assessed for physical and psychosocial effects of the cancer and treatment. For instance, patients who've had radiation treatment may be at increased risk for bladder and colorectal cancers and may need to adhere to screening guidelines for high-risk patients.

  • Men who underwent androgen-deprivation therapy are at increased risk for anemia, so complete blood counts should be performed annually.

  • Physicians should talk with their patients about sexual function and use validated tools (e.g., the Sexual Health Inventory for Men) to assess erectile function over time.

Reader Comments (4)

DOMENICO VALENTE Physician, Dermatology

I underwent prostate robotic surgical removal two months ago.

Why repeat PSA levels?

PAUL APRIL Physician, Rheumatology, Retired

Follow up PSA's, CBC's , alk p'tase, Ca., ERS's, LDH's.

NYDER OTERO Physician, Cardiology, HOSPITAL VERA CRUZ - CAMPINAS -SP-BRASIL

THIS SITE, FOR SURE WILL HELP TO MAKE IMPORTANT DECISIONS. MY PROSTATIC CANCER WAS OPERATED IN SEPT.2004. I START IRRADIATION EN 2008. SINCE THERE EVERTHING IS OK. THANKS, NYDER

Archer Yates,BS Other, Pharmacology/Pharmacy, retired

9 years post op prostate cancer

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