How would you manage prostate cancer in a patient who received prior chemoradiation followed by LAR for rectal cancer?
Assume treatment was 5 years ago and patient no longer has diverting ostomy. Would surgery or radiation be preferred given both have increased risks? Optimal radiation technique and approach?
1 Answer
Mednet MemberInvited Expert
Radiation Oncology · Abramson Cancer Center, University of Pennsylvania
Answered on
In this situation, I would recommend brachytherapy, assuming the patient has sufficient rectum to visualize the whole prostate gland (a pre-procedure volume study or in-office transrectal ultrasound will give you the answer). Either LDR or HDR, as both have data to support use in prior pelvic or pro...
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