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How do you approach systemic therapy for metastatic prostate cancer in geriatric patient when progressed to mCRPC on ADT alone?

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What additional therapy, if any, would you add to a frail elderly patient with mCRPC after progression on ADT alone?

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2 Answers
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Medical Oncology · Veterans Administration Health Care Center
Answered on

This is an important question and requires a careful balancing of scientific and medical knowledge versus clinical skill.

(1) The first key issue is the context of the question -- what is meant by "frail", what has caused the "frailty", and what is the anticipated life expectancy of the patient. If ...

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Mednet Member
Mednet MemberInvited Expert
Medical Oncology · Duke University School of Medicine
Answered on

I agree with Dr. @Dr. First Last completely that the term 'geriatric' in oncology should not refer to actual age, but rather to physiologic measures of frailty and health, in order to avoid discrimination and withholding of life prolonging therapies unnecessarily based simply on age. The average age...

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