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Published in Advanced Prostate Cancer

Expert Opinion / Cases · October 13, 2015

Late Prostatic Bed Recurrence

Jeffrey Tosoian MD, MPH

 

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Jeffrey Tosoian MD, MPH

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  • Miguel Coello

    Nov 03, 2015

    I was consulted, patient never check the PSA. After 6 years PSA came 5.8, I advise RT in the same Center that was trates in California.

  • Jorge Alberto Lambis Ricardo

    Nov 25, 2015

    I think the patient benefits from EBRT again. I think we have to think about local recurrence and can't forget about curative intent.

  • BILL DENTON

    Feb 02, 2016

    I don't know if these comments are just for doctors but here goes anyway. If there was no change in PSA dynamics post SRT then, assuming this nodule was present at that time, the nodule was outside the PTV or SRT was somehow ineffective. That is concerning to me, a recurrent Pt considering SRT. It may be that that nodule is not producing much PSA but that there is metastatic disease elsewhere outside the bed that is really responsible for Pt's PSA of 8+ and rising PSA Hx. I'd look elsewhere before having SRT2. Get a C-11 Acetate or Choline PET.

  • ivon souza

    Nov 12, 2017

    I don't advise EBRT again but i will start ADT.

  • Nov 25, 2024

    Pending Moderator approval.
    Delete

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