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- Jul 14, 2020
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Early 70s and debilitatated due to morbid obesity with DM, chronic orthopedic issues and immobilization. Biochemical failure almost 4 years out from XRT alone for unfavorable intermediate risk disease (XRT alone provided due to above medical confounders and patient choice). PSA kinetics concerning (PSA ~13 with doubling time of 3+ mos).
PSMA PET shows isolated sacral met and posterior prostate recurrence (away from urethra but abutting rectum).
Will counsel regarding importance of ADT with consideration of abi or similar presently. Plan for SBRT to sacral met and looking for local options regarding posterior prostate recurrence.
Any thoughts regarding local options for retreatment of prostate? Nothing, Cryo, HIFU? It's a peripheral and posterior lesion.
Any thoughts on SpaceOar placement in this setting to faciliate SBRT? (I would not offer SBRT without spaceoar as abutment of rectum).
PSMA PET shows isolated sacral met and posterior prostate recurrence (away from urethra but abutting rectum).
Will counsel regarding importance of ADT with consideration of abi or similar presently. Plan for SBRT to sacral met and looking for local options regarding posterior prostate recurrence.
Any thoughts regarding local options for retreatment of prostate? Nothing, Cryo, HIFU? It's a peripheral and posterior lesion.
Any thoughts on SpaceOar placement in this setting to faciliate SBRT? (I would not offer SBRT without spaceoar as abutment of rectum).
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