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The Roles of Radiotherapy, Androgen Deprivation Therapy, and Their Combination for Locally Advanced Prostate Cancer

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Management of Advanced Prostate Cancer

Abstract

Men with locally advanced or high-risk prostate cancer have a substantial risk of dying and developing distant metastases. Historically, androgen deprivation therapy (ADT) by bilateral orchiectomy was frequently used as an effective systemic treatment for advanced prostate cancer. In the 1980s, luteinizing hormone-releasing hormone (LHRH) analogs and antiandrogens emerged and have been used as a medical castration alternative to bilateral orchiectomy. After its success as a palliative treatment for metastatic prostate cancer, a number of trials were initiated to investigate the role of radiotherapy (RT), ADT, and their combination in multimodal treatment for locally advanced or high-risk prostate cancer. In this chapter, we highlighted important randomized trials of combined therapy for locally advanced or high-risk prostate cancer and tried to define the individual roles of RT, ADT, and their combination. A comprehensive review of this topic has been published elsewhere [1], and a large part of the content has been duplicated.

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Correspondence to Kwan Ho Cho M.D. .

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Lee, S.U., Cho, K.H. (2018). The Roles of Radiotherapy, Androgen Deprivation Therapy, and Their Combination for Locally Advanced Prostate Cancer. In: Kim, C. (eds) Management of Advanced Prostate Cancer. Springer, Singapore. https://doi.org/10.1007/978-981-10-6943-7_8

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  • DOI: https://doi.org/10.1007/978-981-10-6943-7_8

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