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PCa Commentary
 

External Beam Radiotherapy and Prostatectomy - Equivalent Results (February 2007)

(Abstract #4607, interim report, 2006 ASCO Prostate Cancer Symposium). An Italian study of patients with clinically localized cancer (RP, n=70; EBRT, n=67) at a median follow-up of 67 months reported biochemical progression in 31% (RP) and 32% EBRT, and local progression in 15.8% (RP) and 17.9% (EBRT). The median time to local progression was 65 months for RP and 64 months for EBRT. Distant failure was seen at a median time of 67 months (RP) and 66 months (EBRT). At 2 years RP showed worse urinary function (p<0.001), but better bowel function (p<0.001). "Sexual dysfunction was more prevalent in the RP than in the EBRT group (70.2% versus 61.2%)." Additional accrual and long-term follow-up data is planned.

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