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Radiation vs RARP for IDC prostate cancer with high Decipher?

Prostate Cancer | Last Active: 6 hours ago | Replies (28)
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@johndavis60

I’ve read that radiation and hormone therapy drugs are not effective against intraductal and cribriform. Is there any truth to that or is it nonsense?

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Replies to "I’ve read that radiation and hormone therapy drugs are not effective against intraductal and cribriform. Is..."
jeff Marchi | @jeffmarc | Apr 15 9:29pm

What you hear appears to be true.

SBRT is an excellent option for most localized prostate cancers, but for tumors with a cribriform pattern, the risk of recurrence is higher and SBRT may not fully eliminate the cancer. These cases often require more aggressive or combined treatment approaches, and decisions should be made in consultation with a specialist. As a result surgery is recommended for localized cancer.

EBRT is also recommended with a little bit higher dosage than without cribriform.

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