Prostate Cancer: Cut or Wait?

New evidence tips the balance toward surgical intervention. But you still may not live longer

Imagine an experiment in which a few hundred women with breast cancer are divided into two groups. Patients in one group have their tumors surgically removed, while those in the other wait patiently, keeping a close eye on the progress of their disease, and are treated only if their cancer starts to spread. Sound barbaric? Substitute prostate cancer for breast cancer, and that is pretty much what 700 Scandinavian men in the early stages of prostate cancer agreed to. The results, published in the New England Journal of Medicine last week, showed that the men who underwent surgery were half as...

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