Abstract
The emerging data from US statistics on prostate cancer screening (Carlsson et al., J Clin Oncol 30(21):2581–2584, 2012; Brawley, Ann Intern Med 157(2):135–136, 2012) and the early results of the 11-year follow-up European Randomized Study of Screening for Prostate Cancer (ERSPC) involving eight countries (Belgium, Finland, France, Italy, Netherlands, Spain, Sweden and Switzerland), have evidenced that the main downside to large-scale PSA screening is over-diagnosis of biologically “indolent” cancers. They constitute about 30 % of detected cancers, and cause the facing of patients with the side effects of unnecessary treatment. Currently, the only way for men suffering for these “biologically insignificant” prostate cancers to delay unnecessary therapies is to offer them an Active Surveillance programme based upon regular check-up schedules.
It seems evident that there is an urgent need to find new reliable molecular markers able to predict the biological aggressiveness of each case of prostate cancer, in order to (Hamburg and Collins, N Engl J Med 363(11):1092, 2010) warrant the successful establishment and performance of personalized medicine. This, in turn, necessitate of substantial investments in infrastructure and standards, which may hasten a thorough understanding of the genetic basis of this disease.
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Staibano, S. (2013). Molecular Markers for Patient Selection and Stratification: Personalized Prognostic Predictive Models. In: Staibano, S. (eds) Prostate Cancer: Shifting from Morphology to Biology. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-7149-9_13
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DOI: https://doi.org/10.1007/978-94-007-7149-9_13
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