Standardization of definitions in focal therapy of prostate cancer: report from a Delphi consensus project

World Journal of Urology
A W PostemaJean J de la Rosette

Abstract

To reach standardized terminology in focal therapy (FT) for prostate cancer (PCa). A four-stage modified Delphi consensus project was undertaken among a panel of international experts in the field of FT for PCa. Data on terminology in FT was collected from the panel by three rounds of online questionnaires. During a face-to-face meeting on June 21, 2015, attended by 38 experts, all data from the online rounds were reviewed and recommendations for definitions were formulated. Consensus was attained on 23 of 27 topics; Targeted FT was defined as a lesion-based treatment strategy, treating all identified significant cancer foci; FT was generically defined as an anatomy-based (zonal) treatment strategy. Treatment failure due to the ablative energy inadequately destroying treated tissue is defined as ablation failure. In targeting failure the energy is not adequately applied to the tumor spatially and selection failure occurs when a patient was wrongfully selected for FT. No definition of biochemical recurrence can be recommended based on the current data. Important definitions for outcome measures are potency (minimum IIEF-5 score of 21), incontinence (new need for pads or leakage) and deterioration in urinary function (increase in...Continue Reading

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Sep 26, 2016·European Urology·Olivier RouvièreAlbert Gelet
Oct 21, 2016·Current Urology Reports·Xavier Cathelineau, Rafael Sanchez-Salas
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Methods Mentioned

BETA
biopsy
biopsies

Software Mentioned

PC
MAX
PORPUS

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