What are the ESMO treatment guidelines for prostate cancer?

Updated: Jul 31, 2017
  • Author: Bagi RP Jana, MD; more...
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Answer

Answer

The 2015 ESMO guidelines recommend watchful waiting with delayed hormone therapy as an option for localized disease or as an alternative for men with localized or locally advanced disease who are unwilling or unsuited for radical therapy. [4]

Other recommended treatment options include [4] :

  • Active surveillance for men with low-risk disease 

  • Radical prostatectomy (RP) or radiotherapy (external beam or brachytherapy) for men with low- or intermediate-risk disease 

  • Primary androgen deprivation therapy (ADT)  alone is not recommended for treatment of non-metastatic disease 

  • For patients with high-risk or locally advanced prostate cancer, external beam RT plus hormone treatment or RP plus pelvic lymphadenectomy


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