Management of High-Risk Localized Prostate Cancer

Traditionally, patients with high-risk localized prostate cancer have been an extremely challenging group to manage due to a significant likelihood of treatment failure and prostate cancer-specific mortality (PCSM). The results of multiple large, prospective, randomized trials have demonstrated that...

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Main Authors: Ariel E. Marciscano, Matthew E. Hardee, Nicholas Sanfilippo
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Advances in Urology
Online Access:http://dx.doi.org/10.1155/2012/641689
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author Ariel E. Marciscano
Matthew E. Hardee
Nicholas Sanfilippo
author_facet Ariel E. Marciscano
Matthew E. Hardee
Nicholas Sanfilippo
author_sort Ariel E. Marciscano
collection DOAJ
description Traditionally, patients with high-risk localized prostate cancer have been an extremely challenging group to manage due to a significant likelihood of treatment failure and prostate cancer-specific mortality (PCSM). The results of multiple large, prospective, randomized trials have demonstrated that men with high-risk features who are treated in a multimodal fashion at the time of initial diagnosis have improved overall survival. Advances in local treatments such as dose-escalated radiotherapy in conjunction with androgen suppression and postprostatectomy adjuvant radiotherapy have also demonstrated benefits to this subset of patients. However, therapeutic enhancement with the addition of chemotherapy to the primary treatment regimen may help achieve optimal disease control.
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spelling doaj-art-a789e3a9e9e94dea99bfd282fdd243a12025-08-20T02:20:57ZengWileyAdvances in Urology1687-63691687-63772012-01-01201210.1155/2012/641689641689Management of High-Risk Localized Prostate CancerAriel E. Marciscano0Matthew E. Hardee1Nicholas Sanfilippo2Department of Radiation Oncology, NYU School of Medicine, New York, NY 10016, USADepartment of Radiation Oncology, NYU School of Medicine, New York, NY 10016, USADepartment of Radiation Oncology, NYU School of Medicine, New York, NY 10016, USATraditionally, patients with high-risk localized prostate cancer have been an extremely challenging group to manage due to a significant likelihood of treatment failure and prostate cancer-specific mortality (PCSM). The results of multiple large, prospective, randomized trials have demonstrated that men with high-risk features who are treated in a multimodal fashion at the time of initial diagnosis have improved overall survival. Advances in local treatments such as dose-escalated radiotherapy in conjunction with androgen suppression and postprostatectomy adjuvant radiotherapy have also demonstrated benefits to this subset of patients. However, therapeutic enhancement with the addition of chemotherapy to the primary treatment regimen may help achieve optimal disease control.http://dx.doi.org/10.1155/2012/641689
spellingShingle Ariel E. Marciscano
Matthew E. Hardee
Nicholas Sanfilippo
Management of High-Risk Localized Prostate Cancer
Advances in Urology
title Management of High-Risk Localized Prostate Cancer
title_full Management of High-Risk Localized Prostate Cancer
title_fullStr Management of High-Risk Localized Prostate Cancer
title_full_unstemmed Management of High-Risk Localized Prostate Cancer
title_short Management of High-Risk Localized Prostate Cancer
title_sort management of high risk localized prostate cancer
url http://dx.doi.org/10.1155/2012/641689
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