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Radiation Oncology • Genitourinary Cancers
Is it ever acceptable for high risk prostate cancer patients to be treated with upfront radical prostatectomy?
If so, when? There seems to be an increasing trend among urologists to offer surgery to high-risk prostate cancer patients despite the low probability of cure predicted by nomograms. Is there data to support or argue against this approach?
Answer from: Radiation Oncologist at Academic Institution
This is an excellent and timely question. There is definitely an increasing trend of patients with high-risk prostate cancer (PCa) receiving upfront radical prostatectomy (RP). Some of this is spurred by a recent, high-profile meta-analysis (https://www.ncbi.nlm.nih.gov/pubmed/26700655), which poole...
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