Has the recent presentation of RADICALS-HD changed your ADT duration recommendations for patients receiving post operative radiation therapy for prostate cancer after radical prostatectomy?
Answer from: Radiation Oncologist at Community Practice
The way I interpret RADICALS is that for adverse pathology meaning GS 8 and above, T3 disease or node positive who benefit from ADT would favor 24 over 6 months. For a favorable time, it’s still unclear if any ADT or maybe 6 months is sufficient.
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Answer from: Radiation Oncologist at Community Practice
It’s a bit hard not to change my practice when I’m in clinic with Dr. Catton as a fellow - but jokes aside - it confirmed my practice in situations where they were high risk on post op pathology. Practically speaking - if they had received radiation up front, we would have given them 2 y...