E. David Crawford, MD, presented “Challenging Cases in Advanced Prostate Cancer- mHSPC” during the 30th Annual International Prostate Cancer Update on January 23rd, 2020 in Beaver Creek, Colorado.

How to cite: Crawford, E. David. Challenging Cases in Advanced Prostate Cancer- mHSPC” January 23rd, 2020. Accessed Jul 2024. https://grandroundsinurology.com/challenging-cases-in-advanced-prostate-cancer-mhspc​/

Challenging Cases in Advanced Prostate Cancer- mHSPC – Summary:

E. David Crawford, MD, Editor-in-Chief of Grand Rounds in Urology and Professor of Urology at the University of California, San Diego, discusses plans of action and best practices for challenging cases in advanced prostate cancer with an experienced panel. He stresses the importance of openly discussing medical options with a patient when it comes to screening, and also emphasizes that once the diagnosis is known, more screening may not be necessary. One of the discussants, Neal Shore, MD, adds that ADT monotherapy could be considered malpractice in certain cases as couplet therapy has been shown to be the new standard of care. The panel also details how the STAMPEDE trial shows that cases with a high metastatic burden don’t benefit much from radiation and demonstrates the importance of monitoring the side effects of ADT in patients, especially in regard to cardiovascular disease. They then discuss differences in treatment between Japan and the United States.

About The 30th Annual International Prostate Cancer Update:

The International Prostate Cancer Update (IPCU), founded in 1990, is a multi-day CME conference focused on prostate cancer treatment updates with expert, international faculty. It is led by expert physicians and is designed for urologists, medical oncologists, radiation oncologists, and other healthcare professionals involved in the diagnosis and treatment of prostate cancer. Dr. Crawford delivered this educational activity during the 30th iteration of the meeting in January 2020.

For further educational activities from this conference, visit our collection page.


Researcher-physician E. David Crawford, MD, Jack A. Vickers Director of Prostate Research and Professor of Urology at the University of California, San Diego, has devoted his career in medicine to educating the public about men's health issues and finding effective techniques and procedures to address prostate cancer, the most common malignancy affecting men in the United States.