[Focal therapy for prostate cancer in Germany - 2014 status].

Abstract

BACKGROUND:

In localized low-risk prostate cancer (PCa), there is a therapeutic dilemma between possible overtreatment by one of the standard therapies and potentially insufficient cancer control by active surveillance (AS). Focal therapy (FT) provides an alternative therapeutic option as it aims to preserve the organ and to eliminate the cancer focus at the same time.

METHODS:

In this article the current state of FT for localized low-risk prostate carcinoma in Germany is described. In addition, criteria that should be used to select patients for FT are proposed.

RESULTS:

Currently, the effectiveness of FT is under evaluation by two multicenter, prospective studies in Germany: TOOKAD and HEMI. However, localized low-risk prostate carcinoma remains a diagnostic challenge: Multiparametric MRI as well as histopathological second opinion are considered mandatory in addition to transrectal biospy.

CONCLUSION:

The oncological outcome of both the TOOKAD and HEMI study will be crucial for any form of FT for prostate carcinoma in Germany in the future. However, there is a remarkably high acceptance of FT among patients.

• Authors: A Roosen, R Ganzer, B Hadaschik, J Köllermann, A Blana, T Henkel, A-B Liehr, D Baumunk, S Machtens, G Salomon, L Sentker, U Witsch, K U Köhrmann, M Schostak, Arbeitskreis für Fokale und Mikrotherapie der Akademie der Deutschen Gesellschaft für Urologie e.V
• Journal: Der Urologe. Ausg. A (Urologe A) Vol. 53 Issue 7 Pg. 1040-5 (Jul 2014) ISSN: 1433-0563 [Electronic] Germany
• Vernacular Title: Fokale Therapie des Prostatakarzinoms in Deutschland - Status 2014.
• PMID: 24941932 (Publication Type: English Abstract, Journal Article, Review)

Topics

• Evidence-Based Medicine
• Germany
• Humans
• Male
• Minimally Invasive Surgical Procedures (methods)
• Organ Sparing Treatments (methods)
• Prognosis
• Prostatectomy (methods)
• Prostatic Neoplasms (diagnosis, therapy)
• Radiotherapy, Conformal (methods)
• Risk Assessment (methods)
• Treatment Outcome
• Watchful Waiting (methods)