TY - JOUR
T1 - Combination of androgen deprivation therapy and radiotherapy for localized prostate cancer in the contemporary era
AU - D'Angelillo, Rolando M.
AU - Franco, Pierfrancesco
AU - De Bari, Berardino
AU - Fiorentino, Alba
AU - Arcangeli, Stefano
AU - Alongi, Filippo
N1 - Publisher Copyright:
© 2014 Elsevier Ireland Ltd.
PY - 2015/2/1
Y1 - 2015/2/1
N2 - Currently, androgen deprivation therapy (ADT) has a well-defined role when administered together with radiotherapy (RT): neo-adjuvant and concurrent combination for intermediate risk-disease and adjuvant therapy for high risk disease. Evidence of this association was generated by randomized trials designed and led approximately 30 years ago; thus the question which arises is how relevant and portable are these data in our current clinical practice?In the present review, we examine the pitfalls of these published randomized controlled trials, their relevance to present daily clinics, where high-dose external beam RT or brachytherapy is applied, as well as the adoption of ADT in patients with concomitant cardiovascular disorders.
AB - Currently, androgen deprivation therapy (ADT) has a well-defined role when administered together with radiotherapy (RT): neo-adjuvant and concurrent combination for intermediate risk-disease and adjuvant therapy for high risk disease. Evidence of this association was generated by randomized trials designed and led approximately 30 years ago; thus the question which arises is how relevant and portable are these data in our current clinical practice?In the present review, we examine the pitfalls of these published randomized controlled trials, their relevance to present daily clinics, where high-dose external beam RT or brachytherapy is applied, as well as the adoption of ADT in patients with concomitant cardiovascular disorders.
KW - Androgen deprivation therapy
KW - Brachytherapy
KW - Prostate cancer
KW - Radiotherapy
UR - https://www.scopus.com/pages/publications/84927164780
U2 - 10.1016/j.critrevonc.2014.10.003
DO - 10.1016/j.critrevonc.2014.10.003
M3 - Review article
SN - 1040-8428
VL - 93
SP - 136
EP - 148
JO - Critical Reviews in Oncology/Hematology
JF - Critical Reviews in Oncology/Hematology
IS - 2
ER -