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Case Review: Team-Based Approaches to Optimize Androgen Deprivation Therapy in Advanced Prostate Cancer

  1. A 75-year-old patient is referred to you with a diagnosis of mCSPC and consideration for ADT. He had a heart attack 5 years earlier and has other cardiovascular risk factors but said he has not been to see his cardiologist for "a couple of years."
    Which of the following would be the best information to communicate when counseling the patient about his options for ADT?
    ADT is contraindicated because of his age and cardiovascular history
    An LHRH antagonist is the only safe medical option for patients with prior MACE
    He will need physical and mental health assessments before you recommend an ADT option
    The only suitable ADT option for him given his age and comorbidities is orchiectomy