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- • Pain in areas of bone involved by tumor and that does not respond to hormonal therapy is best treated by
- external beam radiation to the area of pain. Relief is often felt within days.
- • Observation without further immediate treatment may be suitable for selected patients who have no
- symptoms.
- • External beam irradiation for possible cure in highly selected Stage D-1 patients, since patients with this
- limited Stage D disease will occasionally respond to external beam radiation to the prostate and pelvic area.
- Cure is rare.
-
- Five-Year Survival 55 percent for D-0, 40 percent for D-1, 35 percent for D-2 and D-3
-
- Investigational
- • Combination hormonal manipulation with LH-RH agonists and progestational agents.
- • Chemotherapy protocols.
- • Alternative forms of radiotherapy with neutron beams. New devices producing more powerful forms of
- external radiation using proton and neutron beams have been developed, and patients are being treated in
- clinical trials .