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Topics:
Radiation Oncology • Genitourinary Cancers
Would you de-escalate therapy for a prostate cancer that is barely high risk and has only 1 of 12 cores positive?
If the two intermediate risk factors are on the lower end of intermediate risk (ex GS 3+4 and PSA 11) with a very small volume disease, can a more intermediate risk prostate cancer treatment be provided? Could you eliminate treating hte seminal vesicles and/or not use ADT?
Answer from: Radiation Oncologist at Community Practice
First let’s discuss high risk for cancer at the low-end of that category (example a T1c PSA6 1-2 core GS 8). Current standard of care for radiation management is to provide at least 18mo of ADT based on PCS-IV. This is somewhat of a dose de-escalation of hormonal therapy compared t...
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