Prostate case: What is appropriate for reirradiation and how?

78 y/o with osteoporosis and good PS now 6 years out from EBRT alone for favorable intermediate risk prostate cancer. (T1c, PSA ~6, Gleason 3+4=7). Now with biochemical progression (most recent PSA 5.6 with PSA doubling time ~10.7 months). Restaging imaging, including axumin, demonstrates isolated activity at prostate base with involvement of SV. What to do? 1. Observe (risk to life still low and DMFS probably pretty high at 7 years based on PSA doubling time) 2. ADT (pt with osteoporosis)... Read more
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Radiation Oncology Source Type: forums