How do you approach salvage of a local-only recrurrence of prostate cancer after definitive external beam radiation?
What makes you favor ADT vs local therapy? Any preferred local therapy options? Any other special considerations?
Community PollStarted
Your preferred salvage treatment of prostate cancer recurrence after definitive EB-XRT is:
165 physicians have voted
Join Mednetto vote and see how they answered.
2 Answers
Mednet Member
Radiation Oncology · Radiation Medical Group
Answered on
We continue to prefer "zero margin" whole gland "HDR-like" SBRT for this circumstance for prior external beam RT cases, *34 Gy/5 fx, though would exclude any patient that has preexisting grade 2 or higher toxicity from their original RT course (otherwise, no specific exclusions, if the metastatic w/...
Join for free or sign in to see the full answer
Mednet MemberInvited Expert
Radiation Oncology · University of New Mexico School of Medicine
Answered on
This is not an uncommon situation. The first thing to do is to assess the patient. If the PSA is rising slowly and life expectancy is short, observation without any intervention may be the best approach. If this is not the situation, then assure there is no evidence of regional or distant metastasis...
Join for free or sign in to see the full answer