Topics:
Radiation Oncology • Genitourinary Cancers
What is the appropriate dose for palliation of bulky prostate cancer?
In a man with castrate resistant disease invading into the bladder and rectum, I have been told that 30Gy/10 fractions to the prostate is inadequate, is this correct?
Answer from: Radiation Oncologist at Academic Institution
As always with palliation, the devil is in the details. How bad is the disease, what is the patient's performance status,... Having said that; very little literature is out there, but one prospective study explored doses from 30-39Gy in 3Gy fractions and found good palliation and low toxicity. There...
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