Topics:
Radiation Oncology • Genitourinary Cancers
How do you manage a seminal vesicle recurrence after prostate brachytherapy?
Answer from: Radiation Oncologist at Community Practice
We have run into this issue with several patients at Beaumont (now Corewell) over the years and have had excellent results with salvage HDR brachytherapy. General Logic of Our Approach to ManagementMy standard approach to these cases is to obtain imaging workup with both MRI and PSMA to clarify...
Comments
Radiation Oncologist at UW Carbone Cancer Center
I should mention I assumed biopsy and appropriate ...
I should mention I assumed biopsy and appropriate ...
Answer from: Radiation Oncologist at Academic Institution
HDR brachytherapy.
Get an MRI, confirm the SV recurrence with biopsy, and make sure no metastatic disease (PSMA scan).
Answer from: Radiation Oncologist at Community Practice
I've used multifraction HDR (13.5 Gy x 2) with 4-5 catheters with good success for these presentations. If possible fuse PSMA PET and/or MP MRI to HDR treatment planning CT to ensure appropriate coverage of recurrent area, being mindful of urethral, bladder/bladder neck, and rectal OAR, and any over...
In both the postop salvage of a remnant SV and in ...
I think there are several good solutions to this p...