Cure Rates for Prostate Cancer
More external beam (older data with low dose radiation)
3D conformal external or IMRT
More external beam (high dose, conformal)
External 3D nomogram (Kattan nomogram), new nomogram for external
Risk of metastases after external (Kattan),
Surgery (Graefen nomogram)
Watchful waiting (no treatment)
Memorial Sloan-Kettering Calculator
surgery , external and seeds compared go here
Also note that after radiation the PSA should decline slowly over a period of many months and then stabilize ideally at a level of less than one. If after a period it starts rising again... then by definition the patient has relapsed. In many cases the patient does well without further treatment even if the treatment did not cure him. For a discussion of this subject go here.
|National survival data for prostate
cancer from SEER showed a 96%
adjusted 5 year survival rate (100% local/ regional and 34% distant) the NCDB data relative survival
for all was 85% and by stages I-IV was 92%, 94% 91% and 48% and NCDB observed survival by stages I-IV was
73%, 80%, 81%, 39%.
Recent data shows that even men who have bone mets at the time of diagnosis live over 5 years (go here).
Some studies are using proton beam, but the early results do not appear better than modern high dose 3D conformal irradiation as noted in the recent publication from Loma Linda: