Abstract
The majority of prostate-specific antigen (PSA) screen-detected prostate cancers are low grade and low stage, rendering them suitable for active surveillance in the low-risk group and for focal therapy of the intermediate-risk group with low-volume cancers. While the importance of prostate cancer varies between more developed and less developed countries in East and Southeast Asia due to competing causes of mortality and differential penetrance of PSA screening, there has been a general increase in the incidence of prostate cancer. Cultural differences in decision-making and the acceptance of gland-preserving strategies as well as geographic variability in the dissemination of advanced imaging, biopsy, and ablative technologies are also significant factors in the uptake of focal therapy and active surveillance in East and Southeast Asia. The currently published literature on active surveillance and focal therapy in Asia remains sparse. With an aging population and longer life expectancy due to improving healthcare, focal therapy and active surveillance will become increasingly important in the management of prostate cancer in Asia.
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Kimura, M., Tay, K.J., Muto, S., Horie, S. (2017). Focal Therapy and Active Surveillance of Prostate Cancer in East and Southeast Asia. In: Polascik, T. (eds) Imaging and Focal Therapy of Early Prostate Cancer. Current Clinical Urology. Springer, Cham. https://doi.org/10.1007/978-3-319-49911-6_6
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