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Early localised prostate cancer may accelerate after 15 years

BMJ 2004; 328 doi: (Published 10 June 2004) Cite this as: BMJ 2004;328:1394
  1. Janice Hopkins Tanne
  1. New York

    Watchful waiting is not a good idea for some patients with early localised prostate cancer because local progression and aggressive metastatic disease may develop after 15 years. This finding comes from a 20 year study—one of the largest and longest yet—from a Swedish group and published in JAMA (2004;291: 2713-9)

    “We had not anticipated this increased risk after 15 years,” the lead author, Dr Jan-Erik Johansson of Örebro University Hospital, told the BMJ.

    The study followed 223 patients with early stage, localised …

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