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NCCN QUICK GUIDE

tm

Prostate Cancer, Version 1.2016

High risk

Radiation options include 1) external beam + hormone therapy; 2) external

and seed radiation ± hormone therapy, and 3) external beam + hormone

therapy + docetaxel. Surgery to remove the prostate and lymph nodes is

another option.

58

Very high risk

Same options as high risk except surgery is only for cancer not fixed to

nearby organs. Hormone therapy is used for cancer that can’t be cured.

60

Regional

External radiation + hormone therapy or only hormone therapy are options.

62

Metastatic

Start hormone therapy. Docetaxel may be added for some men.

62

Is my treatment a success?

Ongoing PSA (

p

rostate-

s

pecific

a

ntigen) testing is one of the tests used to check if the treatment

worked. Also, you may get a DRE (

d

igital

r

ectal

e

xam) or a physical exam.

69

What if initial treatment fails?

Your prostate

was removed

One option is external radiation ± hormone therapy if the cancer hasn’t

spread far. If it has, an option is hormone therapy ± external radiation. For

either case, observation is an option.

70

Your prostate

was radiated

When the cancer site is unknown, options are observation, hormone

therapy, and a clinical trial. Cancer confined to the prostate may be

observed or treated with surgery, freezing, or radioactive seeds. Start or

stay on hormone therapy if the cancer has spread to distant sites.

72

You only had

hormone

therapy

For CRPC (

c

astration-

r

ecurrent

p

rostate

c

ancer) without distant

spread, options are a clinical trial, observation, or hormone therapy.

For distant spread, there are other hormone therapies, immunotherapy,

chemotherapy, and other options.

80

How do I decide between options?

Ask your doctors many questions. Also, you could get a second opinion, use a decision aid,

attend support groups, and compare pros and cons.

92

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What are the options for the risk groups?

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