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?
1 Answer
Mednet MemberInvited Expert
Radiation Oncology · University of New Mexico School of Medicine
Answered on
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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