20 doctors weighed in:
What do you recommend for prostate cancer in a person over age 75?
20 doctors weighed in

Dr. Steven Ginsberg
Internal Medicine - Hematology & Oncology
16 doctors agree
In brief: It depends
Treatment for prostate cancer depends on many factors.
If the disease is localized to the prostate, radioactive seed implants, prostate radiaion, or prostatectomy is recommended. Observation without specific treatment also may be appropriate. If the disease has spread, observation, drugs to suppress testosterone, or removal of the testicles might be recommended.

In brief: It depends
Treatment for prostate cancer depends on many factors.
If the disease is localized to the prostate, radioactive seed implants, prostate radiaion, or prostatectomy is recommended. Observation without specific treatment also may be appropriate. If the disease has spread, observation, drugs to suppress testosterone, or removal of the testicles might be recommended.
Dr. Steven Ginsberg
Dr. Steven Ginsberg
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3 comments
Dr. Kenneth Pienta
Treatment choices often depend on how healthy you are otherwise. A 75 year old man with bad heart disease may choose observation and expectant management, but a very healthy 75 year old man may choose a curative treatment.
Dr. George Klauber
Prostate cancer tends to be less aggressive in older man compared to younger men. Otherwise agree with Dr. Pienta, a healthy 75-year-old can be younger in body than an unhealthy 50-year-old
Dr. Andrew Turrisi
Radiation Oncology
1 doctor agrees
In brief: My first answer is
"watchful waiting.
" exceptions are: gleason score >/= 7, psa rapidly rising after 3 tests a month apart, perineural invasion. Seeds are great for low volume low gleason. Higher volume and glands greater than 50 grams require anti-hormones: unpleasant effects, decreased quality of life. External beam done expertly has few advere effects and great control.

In brief: My first answer is
"watchful waiting.
" exceptions are: gleason score >/= 7, psa rapidly rising after 3 tests a month apart, perineural invasion. Seeds are great for low volume low gleason. Higher volume and glands greater than 50 grams require anti-hormones: unpleasant effects, decreased quality of life. External beam done expertly has few advere effects and great control.
Dr. Andrew Turrisi
Dr. Andrew Turrisi
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1 doctor agrees
In brief: Risk stratification
Go to nccn.Org this site will tell you if you are low, medium, or high risk prostate cancer.
..Based on that info using gleason score, psa, bx details ...You can be risk stratified...While surgery is rare for someone over 75 it really depends on your health status and how many years you have left to live....I have treated men in there 80's with gleason 9 cancer...But not with surgery....

In brief: Risk stratification
Go to nccn.Org this site will tell you if you are low, medium, or high risk prostate cancer.
..Based on that info using gleason score, psa, bx details ...You can be risk stratified...While surgery is rare for someone over 75 it really depends on your health status and how many years you have left to live....I have treated men in there 80's with gleason 9 cancer...But not with surgery....
Dr. Richard Sarle
Dr. Richard Sarle
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