Standard approach is to give hormonal deprivation treatment for a period of 6 months in conjunction with radiation treatment on the prostate. It is believed to increase survival according to studies. Recent study by D’Amico in the American Journal of Medicine (JAMA Sept 2015) demonstrates better survival of patients who were in the intermediate to severe comorbidity groups by undergoing only radiation without additional concurrent hormonal ablation for 6 months.
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Thank You for update.