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Guide 11. Adjuvant treatment

After radiation therapy

What are the options?

• If on ADT, continue to complete 2–3 years of ADT

After prostatectomy

Treatment results

What are the options?

No high-risk features or cancer in lymph nodes

Ü

• Observation

High-risk features but no cancer in lymph nodes

Ü

• EBRT

Ü

• Observation

Cancer in lymph nodes

Ü

• ADT ± EBRT

Ü

• Observation

60

NCCN Guidelines for Patients

®

Prostate Cancer, Version 1.2016

5

Treatment guide: Initial treatment

Very high risk

Very high risk

Guide 10. Primary treatment

What are the options?

• EBRT + ADT for 2–3 years

• EBRT+ brachytherapy ± ADT for 2–3 years

• EBRT + ADT for 2–3 years + docetaxel

• Radical prostatectomy and PLND if the cancer isn’t fixed to nearby organs

• ADT when a cure is not possible