Would you treat unfavorable intermediate risk prostate cancer in the setting of recently resected NSCLC?
How would a much higher risk cancer affect decision making? How would you treat him?
Answer from: Radiation Oncologist at Community Practice
This greatly depends on the stage of the lung cancer. If stage IIIA resected NSCLC, I would not treat the prostate cancer immediately, and effectively enter them into active surveillance until the patient is 2 years free of NSCLC on follow-up imaging. If they recur from NSCLC within 2 years, they ha...
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Answer from: Radiation Oncologist at Academic Institution
I agree with @Daniel E. Spratt. The lung cancer represents the greater threat to the patient's life expectancy. I'll generally try to wait 2 years, as most lung cancer recurrences will occur within that time frame. Even stage 1 has a higher 5-year cancer-related mortality than does intermediate risk...
Answer from: Radiation Oncologist at Community Practice
If lung cancer is being treated with a curative goal, then yes, I would treat prostate cancer also.