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Optimal Duration of Hormone Therapy

Prostate Cancer | Last Active: Mar 23 5:37am | Replies (42)

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Profile picture for robertov @robertov

Dear @northoftheborder, you should view this video. It is to the point and well worth your time. It is not discussing attempts to find that intersection. It is 40 well-known oncologists looking at 1000 patients and setting very clear lines for intermediate and high-risk PC. It does NOT talk about metastatic cancer. This is cancer confined to the prostate considering 3 risk factors that modify that timing. It also clearly suggests (although doesn’t explain why) going beyond that increase mortality risk.

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Replies to "Dear @northoftheborder, you should view this video. It is to the point and well worth your..."

@robertov Thanks! I have metastasic cancer, so it's not applicable to my situation, but we've known since the PR.7 and SWOG trials in 2013 that ADT holidays are often beneficial for non-metastatic prostate cancer (stop ADT once PSA is very low, and don't start again unless/until it rises again past a certain point).

That's probably where you'd find the core explanation that's not included in the video. Great that those researchers are working to refine the criteria more. Cheers!