MDT (multi-disciplinary team) guidance for managing prostate cancer
MDT (multi-disciplinary team) guidance for managing prostate cancer
MDT (multi-disciplinary team) guidance for managing prostate cancer
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Figure 3: Treatment algorithm <strong>for</strong> locally advanced (non-metastatic) disease (cont.)<br />
Is this patient suitable <strong>for</strong> clinical trial?<br />
Post-radical <strong>prostate</strong>ctomy<br />
MANAGEMENT OPTIONS 2<br />
Failed local Rx with rising PSA<br />
and/or local recurrence+ Mo<br />
Active surveillance/watchful waiting Active surveillance/watchful waiting<br />
Hormone therapy alone Hormone therapy alone<br />
External beam radiotherapy<br />
(EBRT) +/– concomitant +/–<br />
adjuvant hormone therapy<br />
Post-radical radiotherapy/<br />
brachytherapy<br />
Salvage <strong>prostate</strong>ctomy<br />
Novel local salvage therapy<br />
Ongoing Support<br />
Local patient support network<br />
Role of nurse/GP/healthcare professional <strong>team</strong><br />
7
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