Abstract
High-risk and locally advanced prostate cancer (PCa) patients are likely to undergo multimodality treatment. Patients should at all times be fully informed about all available options and the likelihood of a multimodal approach, including the potential side effects of both local and systemic treatment. For high-risk localized and locally advanced PCa, both radical prostatectomy as part as multimodal therapy and external beam radiotherapy (EBRT) + long-term androgen deprivation therapy (ADT) can be recommended as primary treatment. For high-risk localized PCa, EBRT + BT can also be offered despite a less favorable toxicity profile. In selected high-risk PCa patients, a shorter duration of ADT might be considered. Until the results of the SPCG15 trial are known, the optimal local treatment remains a matter of debate.
Original language | English |
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Pages (from-to) | 614-627 |
Number of pages | 14 |
Journal | European Urology |
Volume | 77 |
Issue number | 5 |
DOIs | |
Publication status | Published - May 2020 |
Keywords
- Prostate cancer
- Localized
- Locally advanced
- Primary therapy
- Radical prostatectomy
- External beam radiotherapy
- Brachytherapy
- Modality treatment
- Systemic treatment
- Systematic review