| Journal: | International braz j urol |
| Database: | PERIÓDICA |
| System number: | 000296847 |
| ISSN: | 1677-5538 |
| Authors: | Monti, Carlos R1 Nakamura, Ricardo A Ferrigno, Robson Rossi Jr, Aristides Kawakami, Neusa S Trevisan, Felipe A |
| Institutions: | 1Instituto do Radium de Campinas, Departamento de Radioterapia, Campinas, Sao Paulo. Brasil |
| Year: | 2006 |
| Season: | Jul-Ago |
| Volumen: | 32 |
| Number: | 4 |
| Pages: | 416-427 |
| Country: | Brasil |
| Language: | Inglés |
| Document type: | Artículo |
| Approach: | Caso clínico, analítico |
| English abstract | Assess the results of salvage conformal radiotherapy in patients with biochemical failure after radical prostatectomy and identify prognostic factors for biochemical recurrence and toxicity of the treatment. MATERIALS AND METHODS: From June 1998 to November 2001, 35 patients were submitted to conformal radiotherapy for PSA > 0.2 ng/mL in progression after radical prostatectomy and were retrospectively analyzed. The mean dose of radiation in prostatic bed was of 77.4 Gy (68-81). Variables related to the treatment and to tumor were assessed to identify prognostic factors for biochemical recurrence after salvage radiotherapy. RESULTS: The median follow-up was of 55 months (17-83). The actuarial survival rates free of biochemical recurrence and free of metastasis at a distance of 5 years were 79.7% e 84.7%, respectively. The actuarial global survival rate in 5 years was 96.1%.The actuarial survival rate free of biochemical recurrence in 5 years was 83.3% with PSA pre-radiotherapy < 1, 100% when > 1 and < 2, and 57.1% when > 2 (p = 0.023). Dose > 70 Gy in 30% of the bladder volume implied in more acute urinary toxicity (p = 0.035). The mean time for the development of late urinary toxicity was 21 months (12-51). Dose > 55 Gy in 50% bladder volume implied in more late urinary toxicity (p = 0.018). A patient presented late rectal toxicity of 2nd grade. CONCLUSIONS: Conformal radiotherapy showed to be effective for the control of biochemical recurrence after radical prostatectomy. Patients with pre-therapy PSA < 2 ng/mL have more biochemical control |
| Disciplines: | Medicina |
| Keyword: | Cirugía, Oncología, Terapéutica y rehabilitación, Neoplasias, Próstata, Radioterapia, Antígeno prostático específico |
| Keyword: | Medicine, Oncology, Surgery, Therapeutics and rehabilitation, Neoplasms, Prostate, Radiotherapy, Prostate specific antigen |
| Full text: | Texto completo (Ver HTML) |
