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A New Technique for Treating Low-risk Prostate Cancer—Super Active Surveillance
Published on: November 7, 2025
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Radiotherapy for high-risk prostate cancer
Jahan J Mohiuddin1, Brock R Baker1, Ronald C Chen1
1Department of Radiation Oncology, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA.
Nature Reviews. Urology
|February 25, 2015
Summary
Combining radiation therapy and long-term androgen deprivation therapy (ADT) improves survival for men with high-risk prostate cancer. Advanced radiation techniques and ongoing research promise even better outcomes.
Area of Science:
- Oncology
- Radiation Oncology
- Urology
Background:
- High-risk prostate cancer necessitates aggressive treatment strategies.
- Combined modality treatments, including radiation and androgen deprivation therapy (ADT), have demonstrated survival benefits.
Purpose of the Study:
- To review the established efficacy of combined radiation and long-term ADT for high-risk prostate cancer.
- To discuss advancements in radiation technology and ongoing research for improved patient outcomes.
Main Methods:
- Review of multiple clinical trials and practice guidelines.
- Analysis of data supporting current treatment recommendations.
- Exploration of emerging research in radiation techniques and novel hormonal agents.
Main Results:
- Combined radiation and long-term ADT significantly prolongs overall survival compared to monotherapy.
- Higher radiation doses, enabled by new technologies, improve cancer control.
- Current guidelines recommend at least 75.6 Gy radiation with 2-3 years of ADT for high-risk disease.
Conclusions:
- The combination of radiation and long-term ADT is a standard of care for high-risk prostate cancer.
- Technological advancements in radiation therapy are enhancing treatment efficacy.
- Future research directions, including hypofractionation and novel agents, hold potential for further survival improvements.
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