Topics:
Radiation Oncology • Genitourinary Cancers • Prostate Cancer • Medical Oncology • Urologic Oncology
In a patient with otherwise low-risk prostate cancer, does presence of a small component of Grade Group 3 disease up-stage to unfavorable intermediate?
How would you treat such a patient?
Answer from: at Community Practice
I agree with Dr. @Patel's response and will just add a couple of additional thoughts. There are many things that go into making a decision about whether treatment is necessary, and what type of treatment is performed. In this case, it's important to consider patient factors (i.e. age, co-morbid cond...
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Answer from: Radiation Oncologist at Academic Institution
While there is some evidence that the total length of Gleason pattern 4 may improve the prediction of adverse pathology over the percentage of pattern 4, I continue to employ the NCCN risk stratification and accompanying treatment algorithm, which classifies such patients as unfavorable intermediate...
Comments
Radiation Oncologist at Lafayette Radiation Center
MRI would be helpful. I would treat as UFIR. Get D...
MRI would be helpful. I would treat as UFIR. Get D...
Answer from: Radiation Oncologist at Academic Institution
To answer the question at face value - Yes, I would treat as per UFIR, meaning no active surveillance.
In regard to the other answers, I partially disagree with Dr. @Patel and mostly agree with Dr. @Russo. I am unconvinced that 0815 gives any of us a reason to routinely omit ADT in any patient who ...