Abstract
Cancer of the prostate represents 10% of all cancers in males and recently became the second most frequent cancer in men in the industrial nations of West Europe and North America. This increase in incidence and mortality is small but real. The greying of the male population and the increasing detection of localised cancer by new technology probably account for most of this increase. The most recent survey of prostate cancer, organised by the American College of Surgeons, showed that close to 50% of the newly diagnosed cases presented with localised disease [1]. This exceptional change in trend to earlier diagnosis is due to increased awareness on the part of urologists and patients alike in the search for locally confined cancer. Also high-risk patients selected by transrectal ultrasound and/or elevated prostate cancer markers are more frequently diagnosed by ultrasound-guided biopsy. This fortuitous Situation is somewhat offset by the lack of consensus on preferred treatment, as revealed in a symposium organised by the National Institutes of Health of the USA [2].
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Denis, L. (1991). Current Trends of Treatment. In: Denis, L. (eds) The Medical Management of Prostate Cancer II. ESO Monographs. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-76278-9_10
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DOI: https://doi.org/10.1007/978-3-642-76278-9_10
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