Elective pelvic nodal irradiation for elderly patients with high-risk prostate cancer: A more patient-oriented approach
The role of elective pelvic nodal irradiation (EPNI) for high-risk prostate cancer (hrPC) management is still an open issue, especially for the elderly patients. It is unclear whether older patients can experience the same benefit from the treatment strategies used for younger men. Hence, in absence...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-03-01
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| Series: | Clinical and Translational Radiation Oncology |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2405630824001861 |
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| author | Federico Iori Matteo Augugliaro Emanuele Alì Cinzia Iotti |
| author_facet | Federico Iori Matteo Augugliaro Emanuele Alì Cinzia Iotti |
| author_sort | Federico Iori |
| collection | DOAJ |
| description | The role of elective pelvic nodal irradiation (EPNI) for high-risk prostate cancer (hrPC) management is still an open issue, especially for the elderly patients. It is unclear whether older patients can experience the same benefit from the treatment strategies used for younger men. Hence, in absence of solid data, it appears reasonable to pursuit a shared decision-making process so that older patients can express their informed preferences about the different treatment options. In this letter, we discuss why caution appears reasonable on EPNI trade-off in hrPC patients aged 75 years or more. |
| format | Article |
| id | doaj-art-8fa44643e2384cc7a2610591ecfaa1d3 |
| institution | Kabale University |
| issn | 2405-6308 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Clinical and Translational Radiation Oncology |
| spelling | doaj-art-8fa44643e2384cc7a2610591ecfaa1d32025-01-30T05:14:28ZengElsevierClinical and Translational Radiation Oncology2405-63082025-03-0151100909Elective pelvic nodal irradiation for elderly patients with high-risk prostate cancer: A more patient-oriented approachFederico Iori0Matteo Augugliaro1Emanuele Alì2Cinzia Iotti3Radiation Oncology Unit, Azienda USL-IRCCS di Reggio Emilia, 42122 Reggio Emilia, Italy; Clinical and Experimental Medicine PhD Program, Department of Biomedical, Metabolic, and Neural Sciences, University of Modena and Reggio Emilia, Modena, Italy; Corresponding author.Radiation Oncology Unit, Azienda USL-IRCCS di Reggio Emilia, 42122 Reggio Emilia, ItalyRadiation Oncology Unit, Azienda USL-IRCCS di Reggio Emilia, 42122 Reggio Emilia, ItalyRadiation Oncology Unit, Azienda USL-IRCCS di Reggio Emilia, 42122 Reggio Emilia, ItalyThe role of elective pelvic nodal irradiation (EPNI) for high-risk prostate cancer (hrPC) management is still an open issue, especially for the elderly patients. It is unclear whether older patients can experience the same benefit from the treatment strategies used for younger men. Hence, in absence of solid data, it appears reasonable to pursuit a shared decision-making process so that older patients can express their informed preferences about the different treatment options. In this letter, we discuss why caution appears reasonable on EPNI trade-off in hrPC patients aged 75 years or more.http://www.sciencedirect.com/science/article/pii/S2405630824001861High-risk prostate cancerElderly patientsPelvic irradiationRadiotherapyRadiation therapyNodes irradiation |
| spellingShingle | Federico Iori Matteo Augugliaro Emanuele Alì Cinzia Iotti Elective pelvic nodal irradiation for elderly patients with high-risk prostate cancer: A more patient-oriented approach Clinical and Translational Radiation Oncology High-risk prostate cancer Elderly patients Pelvic irradiation Radiotherapy Radiation therapy Nodes irradiation |
| title | Elective pelvic nodal irradiation for elderly patients with high-risk prostate cancer: A more patient-oriented approach |
| title_full | Elective pelvic nodal irradiation for elderly patients with high-risk prostate cancer: A more patient-oriented approach |
| title_fullStr | Elective pelvic nodal irradiation for elderly patients with high-risk prostate cancer: A more patient-oriented approach |
| title_full_unstemmed | Elective pelvic nodal irradiation for elderly patients with high-risk prostate cancer: A more patient-oriented approach |
| title_short | Elective pelvic nodal irradiation for elderly patients with high-risk prostate cancer: A more patient-oriented approach |
| title_sort | elective pelvic nodal irradiation for elderly patients with high risk prostate cancer a more patient oriented approach |
| topic | High-risk prostate cancer Elderly patients Pelvic irradiation Radiotherapy Radiation therapy Nodes irradiation |
| url | http://www.sciencedirect.com/science/article/pii/S2405630824001861 |
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