The Current Role of Androgen Deprivation in Patients Undergoing Dose-Escalated External Beam Radiation Therapy for Clinically Localized Prostate Cancer

Purpose. To review existing literature on the role of androgen deprivation therapy (ADT) with dose escalated radiation therapy. Methods and Materials. A PubMed search was undertaken to identify relevant articles. Results. Multiple recent studies were identified examining the role of ADT in the curre...

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Main Authors: Michael J. Smith, Naveed H. Akhtar, Scott T. Tagawa
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Prostate Cancer
Online Access:http://dx.doi.org/10.1155/2012/280278
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author Michael J. Smith
Naveed H. Akhtar
Scott T. Tagawa
author_facet Michael J. Smith
Naveed H. Akhtar
Scott T. Tagawa
author_sort Michael J. Smith
collection DOAJ
description Purpose. To review existing literature on the role of androgen deprivation therapy (ADT) with dose escalated radiation therapy. Methods and Materials. A PubMed search was undertaken to identify relevant articles. Results. Multiple recent studies were identified examining the role of ADT in the current era of radiation dose-escalation. Among the reviewed studies, varying radiation doses and techniques, ADT regimens, and patient selection criteria were utilized. Conflicting results were reported, with some studies demonstrating a benefit of delivering a higher radiation dose with ADT. Other studies failed to show significant benefits with the addition of ADT to dose-escalated RT. Conclusions. The benefit of adding ADT to dose-escalated RT is still uncertain. Prospective randomized trials, several of which are ongoing, are necessary to more adequately examine this issue. In the interim, physicians and patients should continue to utilize the existing data to weigh the risks and benefits of each approach to therapy.
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spelling doaj-art-9ed86553fcd54c9dbce941b941c8bc812025-02-03T01:01:36ZengWileyProstate Cancer2090-31112090-312X2012-01-01201210.1155/2012/280278280278The Current Role of Androgen Deprivation in Patients Undergoing Dose-Escalated External Beam Radiation Therapy for Clinically Localized Prostate CancerMichael J. Smith0Naveed H. Akhtar1Scott T. Tagawa2Department of Radiation Oncology, Stitch Radiation Center, Weill Cornell Medical College, 525 East 68th Street, P.O. Box 575, New York, NY 10065, USADivision of Hematology & Medical Oncology, Weill Cornell Medical College, 525 East 68th Street, New York, NY 10065, USADivision of Hematology & Medical Oncology, Weill Cornell Medical College, 525 East 68th Street, New York, NY 10065, USAPurpose. To review existing literature on the role of androgen deprivation therapy (ADT) with dose escalated radiation therapy. Methods and Materials. A PubMed search was undertaken to identify relevant articles. Results. Multiple recent studies were identified examining the role of ADT in the current era of radiation dose-escalation. Among the reviewed studies, varying radiation doses and techniques, ADT regimens, and patient selection criteria were utilized. Conflicting results were reported, with some studies demonstrating a benefit of delivering a higher radiation dose with ADT. Other studies failed to show significant benefits with the addition of ADT to dose-escalated RT. Conclusions. The benefit of adding ADT to dose-escalated RT is still uncertain. Prospective randomized trials, several of which are ongoing, are necessary to more adequately examine this issue. In the interim, physicians and patients should continue to utilize the existing data to weigh the risks and benefits of each approach to therapy.http://dx.doi.org/10.1155/2012/280278
spellingShingle Michael J. Smith
Naveed H. Akhtar
Scott T. Tagawa
The Current Role of Androgen Deprivation in Patients Undergoing Dose-Escalated External Beam Radiation Therapy for Clinically Localized Prostate Cancer
Prostate Cancer
title The Current Role of Androgen Deprivation in Patients Undergoing Dose-Escalated External Beam Radiation Therapy for Clinically Localized Prostate Cancer
title_full The Current Role of Androgen Deprivation in Patients Undergoing Dose-Escalated External Beam Radiation Therapy for Clinically Localized Prostate Cancer
title_fullStr The Current Role of Androgen Deprivation in Patients Undergoing Dose-Escalated External Beam Radiation Therapy for Clinically Localized Prostate Cancer
title_full_unstemmed The Current Role of Androgen Deprivation in Patients Undergoing Dose-Escalated External Beam Radiation Therapy for Clinically Localized Prostate Cancer
title_short The Current Role of Androgen Deprivation in Patients Undergoing Dose-Escalated External Beam Radiation Therapy for Clinically Localized Prostate Cancer
title_sort current role of androgen deprivation in patients undergoing dose escalated external beam radiation therapy for clinically localized prostate cancer
url http://dx.doi.org/10.1155/2012/280278
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