ASTRO Patient Summary: Phase III Randomized Study of Adjuvant Radiation Therapy versus Observation in Patients with Pathologic T3 Prostate Cancer (SWOG 8794)

Carolyn Vachani, RN, MSN, AOCN
The Abramson Cancer Center of the University of Pennsylvania
Ultima Vez Modificado: 25 de octubre del 2005

Share article


English

Phase III Randomized Study of Adjuvant Radiation Therapy versus Observation in Patients with Pathologic T3 Prostate Cancer (SWOG 8794)

This study looked at prostate cancer patients who were found to have "adverse pathologic features" (invasion beyond the prostate or positive surgical margins) after surgical removal of the prostate. There are two schools of thought with regard to this group: treat with radiation after surgery, or wait until a recurrence occurs to start radiation. Patients were assigned between 6/15/88 and 1/1/97 to immediate radiation versus observation following prostatectomy. To date, the radiation group has a significantly improved "biochemical disease free survival" (defined as PSA<0.4) at both 5 and 10 years (See the table above for results). A large number of patients ultimately received hormone ablation therapy, but this was delayed an average of 2.5 years in the radiation group. Overall survival was improved in the radiation group, but did not achieve statistical significance (the level at which the improvement didn't just happen by chance). As for side effects, there were more reported in the radiation group during treatment, but 2 years post- surgery, the groups had similar quality-of-life scores, so that it seems the side effects resolved over time. A second study (EORTC study 22911) has also confirmed these results. These results mean that radiation therapy immediately after surgery should be considered standard of care in patients with "adverse pathologic features".

English
News
ASTRO: QoL Up With Testosterone Recovery in Prostate Cancer

Sep 17, 2014 - For patients with high-risk prostate cancer, testosterone recovery is shorter for patients receiving 18 months versus 36 months of androgen deprivation therapy, and is associated with improved quality of life, according to a study presented at the annual meeting of the American Society for Radiation Oncology, held from Sept. 14 to 18 in San Francisco.



I Wish You Knew

How cancer patients have changed my life

View More



Blogs and Web Chats

OncoLink Blogs give our readers a chance to react to and comment on key cancer news topics and provides a forum for OncoLink Experts and readers to share opinions and learn from each other.




OncoLink OncoPilot

Frente a un nuevo diagnóstico de cáncer o de cambiar el curso de su tratamiento actual? Deje que nuestro personal de enfermería cáncer que ayudan a pasar!

Más información