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NCCN QUICK GUIDE
Prostate Cancer, Version 1.2016
Is there any good news about prostate cancer?
Most men with prostate cancer will not die from it. Prostate cancer may become life-threatening
only if it has spread outside your prostate. What's more, you’ll likely have treatment options and
be able to choose what’s best for you.8
How can I know if the cancer has or will spread?
By tests that detected and confirmed the cancer12
By your doctors’ ratings of the extent of the cancer18
By other tests and tools used to assess if the cancer will become life-threatening22
Where do I start in deciding treatment?
Risk groups can be a starting point to learn which options will likely have the best results.46
What are the options for the risk groups?
Very low risk
NCCN experts are concerned about the over-treatment of these cancers.
Thus, if you’re older or quite sick, observation is recommended. For
everybody else, active surveillance is an option. If you’ll likely live 20 or
more years, other options are radiation therapy (external or seed) and
surgery to remove your prostate and maybe lymph nodes.48
Like very low risk, observation is the option if you’re older or quite sick.
Otherwise, active surveillance, external or seed radiation, and surgery
to remove your prostate and maybe lymph nodes are options.50
If you’re older or quite sick, options are observation, external radiation ±
seed radiation ± hormone therapy, and in some cases, seed radiation only.
For everybody else, you have the same radiation options but also surgery
to remove your prostate and maybe lymph nodes. Active surveillance may
be an option for some men but needs more research.54
NCCN QUICK GUIDE
This NCCNQUICK GUIDE
sheet summarizes key points from the complete
NCCN Guidelines for
: Prostate Cancer.
These guidelines explain which tests and treatments are recommended by
experts in cancer. To view and download the guidelines, visitNCCN.org/patients
or, to order printed