How do you approach a local failure with a rising PSA following prostate SBRT?

Topics: Radiation Oncology • Genitourinary Cancers

PSMA showed no distant or regional disease but did show a prostatic recurrence.

Answer from: Radiation Oncologist at Academic Institution

I would obtain an MRI if not already done to help delineate local disease extent. A variety of salvage options are available (RP; HIFU; cryotherapy; and re-irradiation with brachytherapy or focal SBRT). A recent systematic review and meta-analysis of local salvage therapies was published by a group ...

Comments

Radiation Oncologist at The Ottawa Hospital
I strongly believe biopsy confirmation should be o...

Radiation Oncologist at David Geffen School of Medicine at UCLA
Agreed on obtaining tissue confirmation of local r...

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