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

Topics: Radiation Oncology • Genitourinary Cancers

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?

Answer from: Radiation Oncologist at Academic Institution

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...

Comments

Radiation Oncologist at Case Western Reserve University/ University Hospitals Seidman Cancer Center
I agree with Dr. @Neil K. Taunk. Our preferred ap...

Radiation Oncologist at Genesis Healthcare Partners- San Diego
We have approached this with SBRT. Our in house pr...

Radiation Oncologist at Stony Brook University School of Medicine
What HDR fractionation do you typically use in the...

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