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Does age influence choice of radiation + ADT over srugery?

Prostate Cancer | Last Active: Mar 11 7:06am | Replies (24)
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Profile picture for hans_casteels @hanscasteels

Are you sure of this?

I was working under the following assumptions:
1. Cribriform tumors have increased resistance to radiation (especially HDR brachytherapy alone).
2. Combination therapy (HDR + EBRT + ADT) is the best approach for controlling the disease.
3. Dose-escalated EBRT (>78 Gy) improves local control.
4. Darolutamide and/or Firmagon may help enhance radiation response.
5. Longer ADT duration (6-12 months) is beneficial. I am on an 18 month regimen

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Replies to "Are you sure of this? I was working under the following assumptions: 1. Cribriform tumors have..."
sicescu2 | @sicescu2 | Mar 10 11:12am

Thanks for your input. I am seeing for a consult a physician from Sloan Kettering and then someone from N.Y. Langone…the founder of Cyberknife. Both are NCI designated centers. My decision has not made yet …still open to radiation.

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