Radiation Alone: Is This Sufficient Treatment for Younger Men with Early Stage Prostate Cancer?

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In a nicely executed matched pair analysis of clinical outcomes after external beam radiation as primary treatment for prostate cancer, younger patients, defined as those 55 years or younger had equivalent outcomes, defined by freedom from biochemical failure, freedom from distant metastases and overall survival at 5 years when compared to older patients. The findings suggest that younger aged patients with localized (organ-confined) disease may be as effectively treated by external beam radiation as older patients, and that the concerns that younger patients have more ‘aggressive’ disease should not preclude this treatment option.

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