Don’t obtain computed tomography scan of the pelvis for asymptomatic men with low-risk clinically localized prostate cancer.
|Rationale and Comments:||Computed tomography scan of the pelvis is very unlikely to provide actionable information in men with low-risk prostate cancer (one commonly accepted definition of low-risk prostate cancer is Gleason score less than 7, PSA less than 20.0 ng/mL, and tumor stage of T2 or less). Magnetic resonance imaging of the pelvis may be useful in some men considering active surveillance.|
|References:||American Urological Association Prostate-Specific Antigen best practice statement, 2013 Revision [Internet]. Linthicum (MD): American Urological Association; 2013 [cited 2014 Nov 4]. Available from: www.auanet.org/education/guidelines/prostate-specific-antigen.cfm.|