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Radiation Oncology • Genitourinary Cancers
Do you recommend ADT for a patient with hypogonadism with unfavorable or high risk prostate cancer whose PSA dropped to <1 after cessation of supplementation?
Is this degree of hypogonadism sufficient to omit leuprolide?
Answer from: Radiation Oncologist at Academic Institution
When I encounter this situation, I will measure the testosterone level off supplementation. If the testosterone is castrate level (<50 ng/dL), then I would not add ADT, as the target testosterone level has already been achieved. If the patient's testosterone level remains above the castrate thres...
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Answer from: Radiation Oncologist at Academic Institution
Not testosterone is at castrate level.