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Deciding on Treatment
 


if you ask which treatment is best? The results of surgery, seeds or external are all about the same (see here, here and here). The NCCN guidelines for patients are a good place to start (go here).

 In 2007 the American Urological Association published new guidelines which basically said that the results with external beam or seeds or surgery were the same (go here).

In 2012 the PIVOT trial showed that a radical prostatectomy only improves survival by 2 to 3% over no treatment at all, again raising the option of 'watchful waiting' (page 1, page 2, page 3)

The technology with IMRT has become so good that IMRT may be the best treatment (go here). For a recent review on modern radiation and prostate cancer go here.

Step 1
Step 2. Surgical Options and Issues
Step 3. Consider Radiation Options and Issues
Step 4. Treatment for more Advanced Cancer

Cure Rates with Radiation versus Surgery for Early Stage Prostate Cancer

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Biochemical relapse-free survival for patients with favorable tumors (stage T1 to T2A lesions, biopsy Gleason scores [<=] 6, and pretreatment prostate-specific antigen levels [<=] 10 ng/mL) by treatment modality from the Cleveland Clinic.  Kupelian. JCO Aug 15 2002: 3376-3385