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MUST READ: New Guidelines for Treating Localized Prostate Cancer

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  • MUST READ: New Guidelines for Treating Localized Prostate Cancer

    The American Urological Association and the American Society for Radiation Oncology (AUA/ASTRO) just issued new guidelines for the treatment of localized prostate cancer.

    There are major changes for active surveillance, being the preferred treatment for all low risk cases. Also, AS can now be considered for select favorable intermediate risk men.

    There are cautions about the lack of high quality data for focal ablation, and a statement that proton has not been shown to be superior to other radiation choices in outcomes and toxicities. Lots of good information here that patients, especially those deciding treatment, should be aware of.

    These new guidelines are the result of studies and discussions of new findings since the last publication five years ago.

    https://www.auanet.org/guidelines/gu...yY_04pbG0B8CAw jXKdGDbn7pbIRCuD6HYV2ruF4ywGEVXJc
    Last edited by ASAdvocate; 05-11-2022, 08:50 AM.

  • #2
    As always, thanks for providing valuable info, ASAdvocate.
    Age Dx'd 57
    PCa History: Father, Uncles, Grandfathers
    Oct16 Bx: Gleason 4+3 Grade Group 3 w/PNI
    LB: 4+3 (60% pattern 4) CI 30%
    RA: 3+3 CI 60%
    RLM: 3+3 CI 10%
    RLA: 3+3 CI 10%

    Jan 2017 DaVinci - Dr. Grant Taylor - Pathology = pT2c or pT3a; Gleason 4+3; Weight: 42g

    Jun 2019 AMS800 installed, Jul 2019 activated - Dr. David Rapp
    ED: Moderate
    (Note: All PSA tests prior to Jun19 were done by LabCore)
    PSA_TESTS
    Apr16-5.10
    Jul16-4.70
    Aug16-5.13

    ----Surgery----
    Mar17<0.01
    Jul17<0.01
    Oct17<0.01
    Jan18<0.01
    May18<0.01
    Nov18<0.01
    Jan19<0.01
    Jun19<0.02
    Nov20<0.10
    May21<0.10
    Apr22<0.10

    Comment

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