For an elderly man with multiple comorbidities (other serious health conditions) and a limited life expectancy who is diagnosed with a small, low-grade (e.g., Gleason 3+3=6, Grade Group 1) prostate cancer, active surveillance is often the most appropriate management strategy. This involves regular monitoring with PSA tests, digital rectal exams, and periodic repeat biopsies, while deferring immediate curative treatment (like surgery or radiation). The rationale is that the cancer is likely indolent (slow-growing) and may never cause symptoms or threaten his life during his remaining years. Immediate treatment carries risks of side effects (incontinence, erectile dysfunction) that could outweigh the potential benefit. Watchful waiting is a less intensive form of monitoring, often used for even older or frailer patients.

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Zambia

• loveness Phiri – 745 pts

• Visual Pathway Lesions
• Positive and Negative Symptoms
• Hallucinations and Delusions
• Antipsychotic Medications
• Emergency: Environmental Emergencies