>
10y
<
10y
Radical prostatectomy +/- PLND (if
N metastasis probability > 2
EBRT +/-ADT (6 months)
+/- BRT or BRT alone
Observation
Intermediate Risk
T2b-T2c OR GS 7OR PSA
10-20
EBRT +/-ADT (6 months)
+/- BRT or BRT alone
High Risk
T3a OR GS > 8 OR PSA >
20
Radical prostatectomy +
PLND
EBRT + ADT (2-3
y)
Very High Risk
T3b-T4 OR
GS primary pattern 5 OR
> 4 core with GS 8-10
Radical prostatectomy + PLND if no fixation
EBRT + ADT (2-3
y)
ADT in pts who are not candidates for definitive
treatment
Treatment options and results
(v 2.2017)