Rationale for Involved Site SBRT-Enhanced Intermittent Androgen Deprivation Therapy in Nodal Oligorecurrent Prostate Cancer
Sean P. Collins, MD, PhD, discusses stereotactic body radiation therapy (SBRT) combined with intermittent androgen deprivation therapy (ADT) in managing nodal oligorecurrent prostate cancer. He emphasizes the evolving landscape of prostate cancer treatment, particularly in patients with limited nodal metastases, where traditional systemic approaches are being re-evaluated in favor of targeted and less toxic strategies.
Dr. Collins explores the clinical evidence supporting SBRT as a precise and effective modality that targets metastatic nodes while sparing surrounding healthy tissues. He underscores that when SBRT is combined with intermittent ADT, it provides a synergistic effect that not only controls localized disease but also allows for periodic withdrawal of ADT, thereby reducing the need for life-long hormone therapy.
Ultimately, Dr. Collins advocates for a paradigm shift toward more personalized and targeted management of nodal oligorecurrent prostate cancer. His insights provide a thoughtful analysis of the potential benefits of integrating SBRT and intermittent ADT.