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February 14, 1996

A 72-Year-Old Man With Localized Prostate Cancer, 1 Year Later

JAMA. 1996;275(6):485. doi:10.1001/jama.1996.03530300069043

At the Surgical Grand Rounds held approximately 1 year ago, Dr Peter Albertsen discussed the management of localized prostate cancer with a Gleason score of 6 (3+3) in a 72-year-old man with a history of arteriosclerotic coronary artery disease and coronary artery bypass graft surgery 13 years before.1 Dr Albertsen focused on three options: radical prostatectomy, radiation therapy, or watchful waiting. We asked the patient and his primary doctor to comment on the year that had passed and the patient's decision to monitor his symptoms and undergo periodic physical examinations and testing of the prostate-specific antigen (PSA).

Mr S, the PATIENT:  Looking back on the events of the past year, I feel that my decision not to have prostate surgery or radiation was right for me. During the year, I again developed angina that didn't respond to the medicine I was taking. Fourteen years after my bypass surgery, I