How would you manage an elderly, medically inoperable patient with high-grade, muscle-invasive bladder cancer who has already received definitive prostate irradiation?

Topics: Radiation Oncology • Genitourinary Cancers

Answer from: Radiation Oncologist at Academic Institution

The more patients with prostate cancer we treat and the longer they live, the more likely this is to happen. While cystectomy is the right thing to recommend, it is often a very difficult operation as continent diversions are impossible, and the risk of bowel injury is high. If the patient is elderl...

Comments

Radiation Oncologist at CarolinaEast Radiation Oncology
Dr. @Zietman, would you provide some insight as to...

Radiation Oncologist at Dartmouth-Hitchcock
Thank you! This is helpful. While it may be tricky...

Radiation Oncologist at NY Cancer & Blood Specialists
Dr. @Zietman, have you done these cases with concu...

Answer from: Radiation Oncologist at Academic Institution

I had a recent patient like this and I've found out that using IGRT helps. We've used intravesical markers or MR-IGRT to better focus the boost for the recurrence and new cases as well.

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Radiation Oncologist at South Sacramento Medical Center
Dr. @Michalski, I can never persuade the urologist...

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