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64

NCCN Guidelines for Patients

®

Prostate Cancer, Version 1.2016

5

Treatment guide: Initial treatment

Review

Review

• One option for men with very low- and low-risk

cancers is not to start treatment since the cancer

might never cause problems. Otherwise, radiation

therapy and surgical treatment are options.

• For intermediate-risk cancer, not starting treatment

is an option if you are likely to live less than 10

years. Another option is radiation therapy. If

you are likely to live 10 or more years, radiation

therapy and surgical treatment are options.

Short-term ADT may be given with EBRT. Active

surveillance may be an option for a subset of men

likely to live 10 or more years.

• High- and very-high-risk cancers may be treated

with radiation or an operation. Sometimes long-

term ADT, docetaxel, or both are added to radiation

therapy. ADT alone is an option when very-high-

risk cancers can be controlled but not cured.

• Regional cancers may be treated with radiation

therapy plus ADT or ADT alone.

• ADT is used to treat metastatic cancers.