Updated American Urological Association (AUA) guidelines for localized PCa

[Tall_Allen]

No surprises here, and very similar to NCCN guidelines for localized PCa:

auanet.org/guidelines/guide...

[garyjp9]

Thank you, TA. Very informative. I am Stage IV, with spread to the regional lymph nodes discovered during surgery. I have heard conflicting comments as to whether that truly qualifies as "metastatic" or not. If not, and since it is not "local," what is the appropriate category and what NCCN guidelines apply?

[Tall_Allen in reply to garyjp9]

It is called "regional'- stage pN1 (the "p" means it was discovered during surgery). It is metastatic, but it can often hang around the pelvic lymph nodes for quite a long time. NCCN guidelines for regional PCa apply.

[PaddleFree]

I agree, especially for guidelines for Intermediate Risk with life expectancy <=10 years which differed before. Now "Observation" vs is preferred over AS or treatment.

[conbio]

Thanks TA - always good to see it laid out clearly

[garyjp9]

Thank you, TA

[cancerfox]

Very helpful, but doesn't include brachytherapy in the discussion of treatment options.

[Tall_Allen in reply to cancerfox]

They just use the term "radiation" to cover all the different kinds, but they do mention brachytherapy specifically in #32 and #37.

[cancerfox]

You're right, it's so briefly mentioned compared to the other topics that I missed it. Thanks!

😀

[Tall_Allen in reply to cancerfox]

They're urologists. It's to be expected.