Connect
← Return to Not Good News after prostate biospy when MRI didn't look too bad
Discussion
Not Good News after prostate biospy when MRI didn't look too bad
Prostate Cancer | Last Active: 3 hours ago | Replies (156)Comment receiving replies
@jeffmarc Why would that be preferred treatment, Jeff?
If large cribriform is so dire, why not go on ADT, remove the gland and do Adjuvant radiation as soon as you can?
Phil
Replies to "@jeffmarc Why would that be preferred treatment, Jeff? If large cribriform is so dire, why not..."
It is PROTECT study.
In short, they found that RP delayed metastasis but they happened in about 25% of patients in 15 years , while RT +ADT had better results - only 8% of patients had mets in period of 15 years.
Connect
@heavyphil
Well, that’s just it, Used to be they thought surgery was the best option for large cribriform. Recent studies, however, have come out and shown that radiation and ADT are a better option.
I’ve heard this while on one of the ancan.org Advanced prostate cancer weekly meetings. Rick who runs for meeting was talking about how radiation was preferred. Previously, I thought it was surgery, But I check with AI and it definitely shows that radiation is the preferred method as Rick found out with studies he’d read about. Of course, surgery followed by salvage. Radiation would probably be pretty much as good and maybe you could avoid ADT but I wouldn’t bet money on it.