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Expert Opinion / Cases · February 20, 2020

Widely Metastatic Prostate Cancer at Diagnosis

Written by
Jeffrey J. Tosoian MD, MPH

 

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  • Comment deleted by Moderator.
  • Noureddine Benjaafar

    Either ADT + Docetaxel and ADT + Abiraterone is valid in this case


  • GANDA Oumarou Sanda

    ADT+ abiraterone Fractioned radiotherapy if bone pain


  • Hisashi Matsushima

    There is no obvious organ metastasis in this case. Standard ADT+ abiraterone + predonisone should be preferred.


  • Radoslav Mangaldzhiev

    If he was fit I would recommend ADT + DOC in first choice due to high volume disease.


  • Judy Hiemenga

    And please don’t omit an early consult in Cancer Genetics.


  • Huan Wang

    ADT+DOC or ADT+Abiraterone is a reasonable treatment choice based on CHARTTED and LATITUDE study. The patient is young with high volume disease, genetic testing should be recommend strongly.


  • Samba Thiapato  Faye

    In our daily practice, we do ADT + Docetaxel if the patient is fit... If he isn't it, we use ADT only + Prednisone.


  • Ismail Abdelhafeez

    ADT + DOC , pending on response post chemo, may advise Lutitium 177 in a clinical trial!


  • Comment deleted by User.
  • Ofobuike Okani

    I would start with ADT+DOC + bisphosphonate if PS is <2 and GFR is >60. If PS is >2, would start with Abiraterone+Pred and add a bisphosphonate if GFR>60.


  • Oct 22, 2021

    Pending Moderator approval.
    Delete

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