Optimal management of prostate cancer with lethal biology-state-of-the-art local therapy
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摘要:
Defining prostate cancer with lethal biology based upon clinical criteria ischallenging.Locally advanced/High-Grade prostate cancer can be downstaged or even downgraded with cure in up to 60% of patients with primary therapy.1-5 However, what is known is that high-grade prostate cancers have a greater potential for recurrence and progression to metastatic disease, which can ultimately result in a patient's death.Patients with clinical features of "high-risk" prostate cancer (cT2c, PSA >20, ≥ Gl 8 on biopsy) are more likely to harbor more aggressive pathologicfindings.