How would you manage prostate cancer in a patient who received prior chemoradiation followed by an APR for rectal cancer?

Topics: Radiation Oncology • Genitourinary Cancers • Prostate Cancer • General Radiation Oncology

If a patient is not a surgical candidate, what it the most appropriate treatment?

Answer from: Radiation Oncologist at Academic Institution

Patients who have been treated with chemoradiation followed by an APR for rectal cancer and now have prostate cancer and are not surgical candidates do have definitive treatment options despite the previous treatment. Although HDR brachytherapy is usually a great option for patients who have already...

Comments

Radiation Oncologist at UCSF Medical Center
We routinely offer HDR brachytherapy to patients w...

Radiation Oncologist at Genesis Healthcare Partners- San Diego
We have done 'virtual HDR' with CyberKnife in post...

Answer from: Radiation Oncologist at Community Practice

I agree with Dr. @Tahir Ijaz that salvage CyberKnife is a good option in this setting, and with Dr. @Eric M. Horwitz that salvage pulsed low dose rate IMRT is intriguing, while HDR brachytherapy is considerably more difficult following APR. However, I have treated 2 patients with HDR brachytherapy i...

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