In our next episode, we are joined by Dr. Sanjay Patel, a urologic oncologist from the Stephenson Cancer Center at the University of Oklahoma, who also happens to be Vivek’s older brother! We discuss the management of prostate cancer from the perspective of our urology colleagues. As medical oncologists, these are conversations and decisions that we are almost never a part of, as they are being had often before patients ever see us. It was so helpful to get to hear how Dr. Patel thinks about his patients!

Content:

- What considerations go into determining if a patient is a good candidate for a prostate biopsy?

-What is the role of an MRI in the workup?

-What are the steps involved in a biopsy?

-When is additional imaging (such as PSMA PET) needed?

-How does he decide surgery vs. radiation referral in unfavorable intermediate risk patients?

-When is pelvic lymph node dissection recommended?

-What does active surveillance entail?

-What about management of high risk and very high risk localized prostate cancer?

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