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J Contemp Brachytherapy. 2015 Jan;6(4):386-8. doi: 10.5114/jcb.2014.46753. Epub 2014 Nov 06.

Perineal recurrence of prostate cancer six years after trans-perineal brachytherapy.

Journal of contemporary brachytherapy

Wietse Eppinga, Peter Vijverberg, Rien Moerland, Eric Brand, Jochem van der Voort van Zyp, Juus Noteboom, Marco van Vulpen

Affiliations

  1. Department of Radiation Oncology, University Medical Center Utrecht, The Netherlands.
  2. Department of Urology, St. Antonius Hospital Nieuwegein, The Netherlands.

PMID: 25834583 PMCID: PMC4300357 DOI: 10.5114/jcb.2014.46753

Abstract

We report a case of perineal recurrence of prostate cancer 6 years after low-dose-rate (LDR) brachytherapy for localized prostate cancer. The most common approach to treat such perineal masses, including those occurring after prior biopsy or surgery, is local excision. We report the use of stereotactic radiotherapy with volumetric modulated arc therapy (VMAT) as a novel non-invasive, potentially curative, and patient-friendly alternative to local excision.

Keywords: brachytherapy; perineal seeding; prostate cancer; radiotherapy; seeds

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