Do you recommend ADT for all patients who are unfavorable intermediate risk prostate cancer?
Do you only recommend ADT in patients with Gleason 4+3?
Answer from: Radiation Oncologist at Academic Institution
I recommend ADT for unfavorable intermediate risk patients who are not treated with a brachy boost. ADT is probably unnecessary for those treated with brachy boost. Of course, I also take into account the patient's concerns and preferences regarding sexuality, cardiac risk, and desire for maximal tr...
Comments
Radiation Oncologist at Case Western Reserve University/ University Hospitals Seidman Cancer Center I have been away from theMednet for a bit, but I s...
Radiation Oncologist at Lafayette Radiation Center Agree with Dr. @Daniel E. Spratt.
Answer from: Radiation Oncologist at Community Practice
When we revisit this topic, once again, we need to ask ourselves what is the goal of the added ADT?
a) Enhanced local control
b) Enhanced freedom from metastatic disease
Potent RT methods (e.g. - EBRT + brachy, high RBE SBRT) maximize local control with no ADT assist needed.
And, if we are doing...
Comments
Radiation Oncologist at Vanderbilt-Ingram Cancer Center RTOG 0815 was presented at ASTRO this past year sh...
Radiation Oncologist at Radiation Medical Group Interesting update - Thanks for sharing - Though, ...
Radiation Oncologist at Karmanos Cancer Institute - McLaren Proton Therapy Center RTOG 0815 also closely followed patient quality of...
Radiation Oncologist at Vanderbilt-Ingram Cancer Center @Donald B. Fuller, I agree with you that proportio...
Radiation Oncologist at Case Western Reserve University/ University Hospitals Seidman Cancer Center I disagree with this statement "...if we are doing...
Radiation Oncologist at Radiation Medical Group @Daniel E. Spratt
I have read your response with ...
Radiation Oncologist at Case Western Reserve University/ University Hospitals Seidman Cancer Center Dr. @Donald B. Fuller-
I am glad you responded as...
Radiation Oncologist at Radiation Medical Group @Daniel E. Spratt-
Thanks again for your addition...
Answer from: Radiation Oncologist at Community Practice
Many thanks to Dr. @Daniel E. Spratt regarding the utility of ADT in enhancing MFS/PCSM/OS and the effect of DE RT on LC only. Does this point to the effects of inadequate staging now that we see the efficacy of PSMA PET imaging? Extreme efforts at local control of the primary are futile if occult m...
I have been away from theMednet for a bit, but I s...
Agree with Dr. @Daniel E. Spratt.