Abstract | OBJECTIVE: PATIENTS AND METHODS: In all, 181 patients with Gleason scores 8-10 prostate cancer were treated from 1994 to 2006 with a (103)Pd implant (prescription dose 100 Gy), 45 Gy of EBRT and 9 months of HT. The median (range) follow-up was 65 (24-150) months; freedom from biochemical failure (FBF) rates were calculated using the Phoenix definition. RESULTS: The 8-year actuarial FBF, freedom from distant metastases, prostate-cancer specific survival and overall survival were 73%, 80%, 87% and 79%, respectively. The pretreatment prostate-specific antigen (PSA) level significantly affected FBF, with 8-year rates of 72%, 82% and 58% for patients with PSA level of <or=10, >10-20 and >20 ng/mL, respectively (P = 0.006). The PSA level had no significant effect on rates of distant metastases. The Gleason score had the most significant affect on FBF in a multivariate analysis, and was the only factor to significantly affect rates of distant metastases; the 8-year FBF rates were 84%, 55% and 30% for scores of 8, 9 and 10, respectively (P = 0.003). The corresponding freedom from distant metastases and prostate-cancer specific survival rates were 86%, 76%, 30% (P < 0.001) and 92%, 80%, 62.5% (P = 0.003), respectively. CONCLUSIONS: The 8-year outcomes after this regimen showed favourable biochemical and distant control, as well disease-specific survival rates for patients with Gleason scores of 8-10. This treatment approach should be considered as a viable option for this subset of patients with high-risk disease.
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Authors | Richard G Stock, Jamie A Cesaretti, Simon J Hall, Nelson N Stone |
Journal | BJU international
(BJU Int)
Vol. 104
Issue 11
Pg. 1631-6
(Dec 2009)
ISSN: 1464-410X [Electronic] England |
PMID | 19493260
(Publication Type: Journal Article)
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Chemical References |
- Androgen Antagonists
- Antineoplastic Agents, Hormonal
- Prostate-Specific Antigen
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Topics |
- Adult
- Aged
- Aged, 80 and over
- Androgen Antagonists
(therapeutic use)
- Antineoplastic Agents, Hormonal
(therapeutic use)
- Brachytherapy
- Combined Modality Therapy
- Epidemiologic Methods
- Humans
- Male
- Middle Aged
- Neoplasm Staging
- Prostate-Specific Antigen
(metabolism)
- Prostatic Neoplasms
(drug therapy, radiotherapy)
- Treatment Outcome
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