Table 1.
Life-threatening | Consequences of conventional curative treatments (radical prostatectomy or radiation therapy) | Alternative therapeutic options | |
---|---|---|---|
Indolent prostate cancer | No | Over-treatment (unjustified deterioration of quality of life) | Active surveillance |
Intermediate prostate cancer | Yes | Definitive cure (justified deterioration of quality of life) | A currently unknown one without deterioration of quality of life |
High-grade prostate cancer | Yes | Ineffective treatment (incomplete tumor destruction/removal and local or metastatic recurrence) | Androgen deprivation as a unique option or within a (neo-) adjuvant association |