Re-salvage MRI-guided Focal High-dose-rate Brachytherapy for Locally Recurrent Prostate Cancer

Marieke J Van Son, Max Peters, Marinus A Moerland, Juus L Noteboom, Wietse S Eppinga, Raquel Davila Fajardo, Jan Lagendijk, Jochem R Van der Voort van Zyp

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Prostate cancer recurrences are common, even with twenty-first-century primary prostate cancer treatment modalities. The most common salvage treatment is (delayed) hormonal therapy, which is often associated with serious side-effects. Due to the risk of significant toxicity, whole-gland targeted salvage treatments remain unpopular. Consequently, developments in focal therapies have arisen. Magnetic resonance imaging (MRI)-guided focal salvage high-dose-rate brachytherapy (HDR-BT) is a novel treatment aiming for minimal toxicity in recurrent prostate cancer patients. Repeating focal treatment could, therefore, be possible in case of post-salvage recurrence. We report the case of a 77-year-old man who underwent repeat focal HDR-BT.

Original languageEnglish
Article numbere2429
JournalCureus
Volume10
Issue number4
DOIs
Publication statusPublished - 5 Apr 2018

Keywords

  • prostate cancer
  • recurrence
  • brachytherapy
  • salvage therapy
  • interventional magnetic resonance imaging

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