Urology>>>>>Prostate Cancer
Question 4#

Which finding is TRUE in the Scandinavian Prostate Cancer Group Study Number 4 (SPCG-4), comparing radical prostatectomy versus watchful waiting in the management of early prostate cancer after up to 10 years follow-up?

a. Radical prostatectomy reduces prostate cancer-specific mortality, overall mortality, the risks of metastasis and local progression compared with watchful waiting
b. Radical prostatectomy has no benefit in terms of overall survival
c. Radical prostatectomy has no benefit in terms of disease specific survival
d. Radical prostatectomy has no benefit in terms of reducing prostate cancerspecific mortality, overall mortality, the risks of metastasis or local progression
e. With longer follow up any difference in terms of cancer specific survival between the radical prostatectomy and watchful waiting is likely to decrease

Correct Answer is A

Comment:

Answer A

Radical prostatectomy reduces disease-specific mortality, overall mortality and the risks of metastasis and local progression compared with watchful waiting after up to 10 years follow-up.

Further Reading:
Bill-Axelson A, Radical prostatectomy or watchful waiting in prostate cancer—29-Year follow-up. N Eng J Med 2018; 379: 2319–2329.