Adjuvant or salvage radiation for high-risk patients post-surgery? The need for shared decision-making

In the October issue of European Urology there was an interesting “consensus statement” about the role of radiation therapy as adjuvant or salvage therapy for men who are at significant risk for recurrence of their prostate cancer after first-line treatment with radical prostatectomy.

RALP as a first-line treatment for high-risk, localized and locally advanced prostate cancer

In light of the publication this week of data by Warde et al. on external beam radiation therapy + lifelong total androgen deprivation (ADT) as a first-line treatment for high-risk, localized and locally advanced prostate cancer (click here for commentary), it is interesting to note an article from another research group outlining experience with a [...]

EBRT + total (combined) ADT in treatment of high-risk, localized and locally advanced prostate cancer

The big news today is the publication, in The Lancet, of the interim results of the NCIC CTG PR.3/MRC UK PR07 trial, originally presented by Warde et al. at the annual meeting of the American Society for Clinical Oncology in June 2010 and then by Mason et al. at the annual meeting of the American [...]

Is surgery appropriate for men with high-risk prostate cancer?

An article by Schmitges et al., originally published in Therapeutic Advances in Urology in August this year, has just been reproduced on the Medscape Oncology web site, where it is available in complete form.

The role of radical prostatectomy in older males with high-risk prostate cancer

Data reported earlier this year from the PIVOT study and separately from the long-term Scandinavian study have shown that the surgical treatment of prostate cancer in the patients enrolled in these trials showed no median prostate-cancer specific or overall survival benefit compared to watchful waiting in patients of > 65 years of age.

Adjuvant ADT after surgery in men with high-risk prostate cancer

Back in June 2010, we reported on the initial results of SWOG 9921 — a trial that randomized 983 men with high-risk features at prostatectomy to receive adjuvant therapy with androgen deprivation (ADT) alone or in combination with mitoxantrone chemotherapy.

Outcomes after surgery as first-line treatment for men with high-risk prostate cancer

Data from the Cleveland Clinic offer some insight into the medium- and long-term outcomes of a cohort of men initially diagnosed between January 1998 and June 2004 with high-risk, localized prostate cancer and treated by radical prostatectomy alone as their first-line therapy.

Researchers claim four-gene panel can identify high-risk prostate cancer

According to an article on the Wall Street Journal web site today, some Boston-based researchers associated with a company called Metamark Genetics are claiming to have isolated a combination of four genes that might be able to identify early stage prostate cancer that will evolve into an aggressive and potentially deadly form of the disease.

10-year follow-up of brachytherapy “plus” in high-risk, localized prostate cancer

The stream of information about long-term outcomes after brachytherapy continues with an article on 10-year outcomes of high-risk patients treated with brachytherapy, adjuvant external beam radiation, and adjuvant androgen deprivation (ADT).

ADT + radiation vs. ADT alone in men with high-risk, localized prostate cancer

As we reported at the time, at the annual meeting of the American Society for Clinical Oncology, in June this year, Warde et al. presented the initial survival data from a large, multi-center trial of androgen deprivation therapy (ADT) + radiation compared to ADT alone for patients with high-risk, localized prostate cancer.

First-line surgical management of high-risk, localized and locally advanced prostate cancer

For many years surgery was considered to be inappropriate for most men with locally advanced prostate cancer — most particularly those with positive lymph nodes (TxN1Mx) at the time of surgery.

CT + ADT vs. 3D-CRT + ADT for first-line treatment of “high-risk” prostate cancer

A South Korean research team has just published data from a small, prospective, case-matched study comparing outcomes after cryotherapy + androgen deprivation therapy (CT + ADT) to outcomes after three-dimensional conformal radiation therapy + androgen deprivation (3D-CRT + ADT) in patients with high-risk prostate cancer.

Post-treatment mortality of elderly men with high-risk prostate cancer

New data from a series of > 700 elderly patients with high-risk prostate cancer suggests that aggressive combination therapy for such men is associated with a reduced risk for prostate cancer-specific mortality.

Phase III data on early chemohormonal therapy in high-risk patients

Results of a study (the GETUG 12 trial) presented today at the ASCO 2010 Genitourinary Cancer Symposium in San Francisco suggest that the addition of docetaxel-based chemotherapy to androgen deprivation and radiation therapy may impact biochemical recurrence of prostate cancer in high risk patients with localized disease — but it will take a while before [...]

Results of a randomized trial of two modern types of radiation therapy

A newly published Italian study offers what we believe to be the first direct comparison of two “modern” types of external beam radiation therapy for the treatment of localized, high-risk prostate cancer. This is a relatively small trial, with relatively brief follow-up to date, but the results are nontheless interesting and important.

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