publication date: Sep. 5, 2014

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CAP Publishes Recommendations for Active Surveillance of Prostate Cancer

The College of American Pathologists published recommendations for active surveillance of patients with prostate cancer.

The report highlighted key pathologic parameters for identifying patients likely to succeed with active surveillance, including: sampling, submission, and processing issues in needle biopsies; tumor extent in needle biopsies; biopsy reporting for all and special cases; Gleason scores; and precision medicine markers.

The recommendations were published online in the Archives of Pathology & Laboratory Medicine.

Recommendations from the U.S. Preventive Services Task Force and randomized trials have drawn attention to overtreatment of localized, low-risk prostate cancer. PSA screening and changing consensus on PSA testing practices are among the many factors that contribute to prostate cancer’s overdiagnosis and overtreatment, according to CAP.

The article’s authors include pathologists, radiation oncologists, surgeons, and urologists from Australia, Canada, Italy, New Zealand, Sweden, and the U.S. The recommendations were supported by the International Society of Urological Pathology, the Association of Directors of Anatomic and Surgical Pathology, the New Zealand Society of Pathologists, and the Prostate Cancer Foundation.

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