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The Right Prostate Treatment


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THE RIGHT PROSTATE TREATMENT

I found the article ("Prostate cancer: How to thwart a killer," Personal Business, Mar. 16) misleading because:

-- The use of radioactive implants is not standard therapy, has never been shown to be equivalent to external beam irradiation, and is not to be routinely recommended (in my view).

-- Reduction of male-hormone production through orchectomy or new medical treatments results in reduction in pain and decrease in symptoms in most men. DES is a poor alternative. While effective, it is toxic and is not often used. There are new and important drugs: Luteinizing hormone-releasing hormone analogs, and antiandrogens.

Donald L. Trump, M.D.

Durham, N.C.


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