2 of 2
NCCN QUICK GUIDE
Prostate Cancer, Version 1.2016
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
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
External radiation + hormone therapy or only hormone therapy are options.62
Start hormone therapy. Docetaxel may be added for some men.62
Is my treatment a success?
Ongoing PSA (
ntigen) testing is one of the tests used to check if the treatment
worked. Also, you may get a DRE (
xam) or a physical exam.69
What if initial treatment fails?
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
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
For CRPC (
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
Page NumberÜ NCCN.org
pay it forward
The NCCN QUICK GUIDE
series and NCCN Guidelines for Patients
are supported by charitable
donations made to the NCCN Foundation
. For more details and the full library of patient and
caregiver resources, visitNCCN.org/patients.
What are the options for the risk groups?