Radiation therapy for prostate cancer may be delivered in the form of EBRT or stereotactic brachytherapy (ie, the insertion of radioactive seeds into the prostate gland). EBRT techniques include three-dimensional conformal radiation therapy (3D-CRT) and intensity-modulated radiation therapy (IMRT). Higher-dose-rate radiation therapy using stereotactic guidance is another available treatment option, though there is a lack of data on long-term survival or complication rates for this modality.
Surgical management for prostate cancer includes classic approaches such as retropubic prostatectomy and perineal prostatectomy, nerve-sparing techniques, laparoscopic procedures, and robotically assisted procedures.
Bilateral orchiectomy, rather than unilateral or contralateral orchiectomy, is required to ensure complete androgen blockade.
ADT monotherapy is not the first-line treatment option for localized or locally advanced prostate cancer. Rather, patients with localized or locally advanced prostate cancer typically receive ADT in combination with radiotherapy. ADT is typically the primary palliative approach to treating patients with advanced and metastatic prostate cancer.
For more on radiation therapy in prostate cancer treatment, read here.
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Any views expressed above are the author's own and do not necessarily reflect the views of WebMD or Medscape.
Cite this: Bradley Schwartz. Fast Five Quiz: How Much Do You Know About Prostate Cancer Treatment? - Medscape - Apr 04, 2019.