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Would you consider moderate hypofractionation for men with large prostate (>100cc) and poor AUA/IPSS score?

Given that FCCC trial (Pollack et al., PMID 24101042) showed worse late GU toxicity with IPSS >12.
1 Answer
Mednet Member
Mednet MemberInvited Expert
Radiation Oncology · Virginia Commonwealth University Medical Center
Answered on

Size of the prostate, per se, is not a contraindication to moderate hypofractionation, if you can meet your dose constraints. However, I am much more concerned about a poor AUA/IPSS score when recommending radiation. I prefer conventional fractionation EBRT in these patients. In my experience, their...

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