How do you follow patients after prostate SBRT?

Topics: Radiation Oncology • Genitourinary Cancers

How does the PSA change differ (if at all) compared to IMRT. Do you still use the Phoenix definition?

What do you do if PSA is slow to decline?

Answer from: Radiation Oncologist at Academic Institution

At Fox Chase, we follow our prostate SbRT patients the same way we follow all our prostate patients. Specifically, their first post-treatment visit is around 4 months with a PSA and testosterone prior to the visit. They are then seen every 6 months with labs. Typically we alternate our vists with th...

Comments

Radiation Oncologist at Sequoia Radiation Oncology Services, Inc
What would you do if the PSA declines very slowly ...

Radiation Oncologist at Community Health Network
I follow my prostate SBRT patients exactly the sam...

Radiation Oncologist at Kansas City VA Medical Center
I follow SBRT patients exactly the same as Hypo fx...

Answer from: Radiation Oncologist at Academic Institution

I agree with the sentiments above. I don't change my PSA surveillance approach after prostate SBRT. For those with slow declines, I discuss the multi-institutional study of ~1,700 SBRT patients noted median nadir PSA of 0.2 which took a median of 44 months to achieve (interquartile range 24-72 month...

Comments

Radiation Oncologist at Columbia University Medical Center
I agree with the above approach. At the end of tre...

Answer from: Radiation Oncologist at Community Practice

Overall, I don’t change my follow-up procedures. The one change is that I often get a PSA at the end of radiation treatment, and I don’t do this for prostate SBRT. For standard or moderately hypofractionated EBRT, PSA drops in at about 70% of patients by the last week of therapy (persona...

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