Rola pooperacyjnej radioterapii w leczeniu raka gruczolu krokowego

Abstract

Author(s): A Brzozowska, M Mazurkiewicz

One of the basic methods of treatment of patients suffering from early forms of prostate cancer is radical prostatectomy. Despite applying modern methods of pre-surgery diagnostics and advanced surgery techniques, still in many patients it is not possible to carry out a radical procedure, the consequence of which is in some of them is the relapse of neoplasmic process. The optimal treatment of these patients is still under discussion. The effectiveness of post-surgery radiotherapy of patients after non-radical prostatectomy has been lately evaluated in three big randomized tests: EORTC, SWOG and German Cancer Society ARO 96-02 and AUO AP 09/95. The results of these tests display that the application of postsurgery radiotherapy among patients suffering from prostate cancer in the level of severity T3 or with the presence of neoplasmic cells in post-surgery margins (R1) decreases the risk of biochemical and clinical renewal and extends the time to the commencement of the hormone therapy. It is a well-tolerated method. As the outcomes of the test showed, it does not influence the prolongation of the total survival time of patients.<

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