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Macmillan and Cancerbackup merged in 2008. Together we provide free, high quality information for people affected by cancer through our publications, website and phone service. Find out more|.
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Active surveillance means that your doctors will keep a close eye on you to see if the cancer is growing significantly.
Most low-grade, early-stage prostate cancers are very slow-growing and may never cause any symptoms. For this reason, some men and their specialists decide to wait and see whether the cancer is getting bigger (progressing) before starting any treatment.
You will usually have frequent digital rectal examinations and blood tests every 1–3 months to check your PSA levels. You’ll be asked if you’ve developed any new symptoms and you may also have prostate biopsies every few years.
If these regular tests show that the cancer is starting to grow, your doctors will recommend treatment intended to cure the cancer, such as surgery or radiotherapy. If the cancer isn’t growing or developing, it’s safe to continue with active surveillance.
Benefits: Many men who choose active surveillance will avoid the complications and side effects of surgery|, radiotherapy| or hormonal therapy|.
Risks: Some men find it difficult just to wait and see if their cancer progresses before starting any therapy. Some men will need surgery, radiotherapy or hormonal therapy if their cancer shows signs of developing.
For answers, support or just a chat, call the Macmillan Support Line free (Monday to Friday, 9am-8pm)
If you have any questions about cancer, need support or just want someone to talk to, ask Macmillan.