Would you treat PSA-only disease in a 65-year-old man with PSA of 10 ng/mL?


Would you treat PSA-only disease in a 65-year-old man with PSA of 10 ng/mL?

Would you recommend treatment (versus observation) for a 65-year-old patient with an undetectable PSA after local therapy, but 3 years later the PSA level measures 10 ng/mL and the PSA doubling time (PSADT) was less than 3 months? Would you administer treatment if the PSADT were 6 months? 12 months? (Note that workup reveals no metastatic disease.)

 

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