Salvage therapy of intraprostatic failure after radical external-beam radiotherapy for prostate cancer: A review

Abstract Radical external-beam radiotherapy (EBRT) is a standard treatment for prostate cancer (PC) patients. Despite this, the rate of intraprostatic relapses after primary EBRT is still not negligible. There is no consensus on the most appropriate management of these patients after EBRT failure. T...

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Veröffentlicht in:Critical reviews in oncology/hematology 2013-12, Vol.88 (3), p.550-563
Hauptverfasser: Alongi, Filippo, De Bari, Berardino, Campostrini, Franco, Arcangeli, Stefano, Matei, Deliu Victor, Lopci, Egesta, Petralia, Giuseppe, Bellomi, Massimo, Chiti, Arturo, Magrini, Stefano Maria, Scorsetti, Marta, Orecchia, Roberto, Jereczek-Fossa, Barbara Alicja
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container_title Critical reviews in oncology/hematology
container_volume 88
creator Alongi, Filippo
De Bari, Berardino
Campostrini, Franco
Arcangeli, Stefano
Matei, Deliu Victor
Lopci, Egesta
Petralia, Giuseppe
Bellomi, Massimo
Chiti, Arturo
Magrini, Stefano Maria
Scorsetti, Marta
Orecchia, Roberto
Jereczek-Fossa, Barbara Alicja
description Abstract Radical external-beam radiotherapy (EBRT) is a standard treatment for prostate cancer (PC) patients. Despite this, the rate of intraprostatic relapses after primary EBRT is still not negligible. There is no consensus on the most appropriate management of these patients after EBRT failure. Treatment strategies after PC relapse are strongly influenced by the effective site of the tumor recurrence, and thus the instrumental evaluation with different imaging techniques becomes crucial. In cases of demonstrated intraprostatic failure, several systemic (androgen deprivation therapy) or local (salvage prostatectomy, cryotherapy, high-intensity focused ultrasound, brachytherapy, stereotactic EBRT) treatment options could be proposed and are currently delivered by clinicians with a variety of results. In this review we analyze the correct definition of intraprostatic relapse after radiotherapy, focusing on the recent developments in imaging to detect intraprostatic recurrence. Furthermore, all available salvage treatment options after a radiation therapy local failure are presented and thoroughly discussed.
doi_str_mv 10.1016/j.critrevonc.2013.07.009
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subjects Brachytherapy
Cryotherapy
Diagnostic Imaging - methods
EBRT
Hematology, Oncology and Palliative Medicine
HIFU
Hormonal therapy
Humans
Intraprostatic failure
Male
Neoplasm Recurrence, Local
Prostatectomy
Prostatic Neoplasms - diagnosis
Prostatic Neoplasms - pathology
Prostatic Neoplasms - radiotherapy
Prostatic Neoplasms - therapy
Salvage therapy
Salvage Therapy - methods
Treatment Outcome
title Salvage therapy of intraprostatic failure after radical external-beam radiotherapy for prostate cancer: A review
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