Some doctors say it’s time to rename low-grade prostate cancer. Most prostate cancers are harmless, but doctors say fear of the name can cause some patients to overreact and opt for unneeded surgery or radiation.
, which looks for high levels of a protein that may mean cancer but can also be caused by less serious prostate problems or even vigorous exercise.
Often, doctors offer patients with the lowest score — Gleason 6 — a way to avoid surgery and radiation: active surveillance, which involves close monitoring but no immediate treatment.“I would be over the moon if people came up with a new name for Gleason 6 disease,” Penson said. “It will allow a lot of men to sleep better at night.”
Name changes have happened previously in low-risk cancers of the bladder, cervix and thyroid. In breast cancer, there’s an ongoing debate about dropping “carcinoma” fromIn prostate cancer, the 1960s-era Gleason ranking system has evolved, which is how 6 became the lowest score. Patients may assume it’s a medium score on a scale of 1 to 10. In fact, it’s the lowest on a scale of 6 to 10.
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