Salvage prostate intensity modulated radiation therapy after cryotherapy failure

Cryotherapy is an ablative therapy that can be used to treat localized prostate cancer. In case of recurrence, treatment options are not well-defined, and their outcomes are unknown. We therefore collected all patients treated with radiotherapy after cryotherapy for prostate cancer recurrence in Nan...

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Published inScientific reports Vol. 14; no. 1; pp. 9148 - 6
Main Authors Perennec, Tanguy, Rogé, Maximilien, Hetet, Jean-François, Colls, Philippe, Guimas, Valentine, Rio, Emmanuel, Vaugier, Loïg, Supiot, Stéphane
Format Journal Article
LanguageEnglish
Published London Nature Publishing Group UK 21.04.2024
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ISSN2045-2322
2045-2322
DOI10.1038/s41598-024-59406-8

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Abstract Cryotherapy is an ablative therapy that can be used to treat localized prostate cancer. In case of recurrence, treatment options are not well-defined, and their outcomes are unknown. We therefore collected all patients treated with radiotherapy after cryotherapy for prostate cancer recurrence in Nantes (France) between 2012 and 2019. We identified ten patients. After a median follow-up of 5 years, two patients presented late grade 3 toxicities; one patient presented a grade 3 rectal hemorrhage, and one had a grade 3 hematuria. Two patients relapsed at 61 and 62 months, and three patients died of other causes. Radiotherapy to treat local prostate cancer recurrence after cryotherapy seems feasible and effective in local control. These results do not allow us to recommend this technique in current practice but are encouraging for the conduct of prospective trials.
AbstractList Abstract Cryotherapy is an ablative therapy that can be used to treat localized prostate cancer. In case of recurrence, treatment options are not well-defined, and their outcomes are unknown. We therefore collected all patients treated with radiotherapy after cryotherapy for prostate cancer recurrence in Nantes (France) between 2012 and 2019. We identified ten patients. After a median follow-up of 5 years, two patients presented late grade 3 toxicities; one patient presented a grade 3 rectal hemorrhage, and one had a grade 3 hematuria. Two patients relapsed at 61 and 62 months, and three patients died of other causes. Radiotherapy to treat local prostate cancer recurrence after cryotherapy seems feasible and effective in local control. These results do not allow us to recommend this technique in current practice but are encouraging for the conduct of prospective trials.
Cryotherapy is an ablative therapy that can be used to treat localized prostate cancer. In case of recurrence, treatment options are not well-defined, and their outcomes are unknown. We therefore collected all patients treated with radiotherapy after cryotherapy for prostate cancer recurrence in Nantes (France) between 2012 and 2019. We identified ten patients. After a median follow-up of 5 years, two patients presented late grade 3 toxicities; one patient presented a grade 3 rectal hemorrhage, and one had a grade 3 hematuria. Two patients relapsed at 61 and 62 months, and three patients died of other causes. Radiotherapy to treat local prostate cancer recurrence after cryotherapy seems feasible and effective in local control. These results do not allow us to recommend this technique in current practice but are encouraging for the conduct of prospective trials.
Cryotherapy is an ablative therapy that can be used to treat localized prostate cancer. In case of recurrence, treatment options are not well-defined, and their outcomes are unknown. We therefore collected all patients treated with radiotherapy after cryotherapy for prostate cancer recurrence in Nantes (France) between 2012 and 2019. We identified ten patients. After a median follow-up of 5 years, two patients presented late grade 3 toxicities; one patient presented a grade 3 rectal hemorrhage, and one had a grade 3 hematuria. Two patients relapsed at 61 and 62 months, and three patients died of other causes. Radiotherapy to treat local prostate cancer recurrence after cryotherapy seems feasible and effective in local control. These results do not allow us to recommend this technique in current practice but are encouraging for the conduct of prospective trials.Cryotherapy is an ablative therapy that can be used to treat localized prostate cancer. In case of recurrence, treatment options are not well-defined, and their outcomes are unknown. We therefore collected all patients treated with radiotherapy after cryotherapy for prostate cancer recurrence in Nantes (France) between 2012 and 2019. We identified ten patients. After a median follow-up of 5 years, two patients presented late grade 3 toxicities; one patient presented a grade 3 rectal hemorrhage, and one had a grade 3 hematuria. Two patients relapsed at 61 and 62 months, and three patients died of other causes. Radiotherapy to treat local prostate cancer recurrence after cryotherapy seems feasible and effective in local control. These results do not allow us to recommend this technique in current practice but are encouraging for the conduct of prospective trials.
ArticleNumber 9148
Author Perennec, Tanguy
Rogé, Maximilien
Rio, Emmanuel
Hetet, Jean-François
Vaugier, Loïg
Supiot, Stéphane
Guimas, Valentine
Colls, Philippe
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Issue 1
Keywords Biochemical relapse
Cryoablation
Salvage radiotherapy
Toxicity
Prostate cancer
Language English
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Snippet Cryotherapy is an ablative therapy that can be used to treat localized prostate cancer. In case of recurrence, treatment options are not well-defined, and...
Abstract Cryotherapy is an ablative therapy that can be used to treat localized prostate cancer. In case of recurrence, treatment options are not well-defined,...
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SubjectTerms 631/67/1059/485
631/67/589/466
Biochemical relapse
Biopsy
Cancer therapies
Clinical trials
Cryoablation
Cryotherapy
Hematuria
Hemorrhage
Humanities and Social Sciences
Humans
Male
Metastasis
multidisciplinary
Oncology
Patients
Prospective Studies
Prostate
Prostate cancer
Prostatic Neoplasms - radiotherapy
Radiation therapy
Radiotherapy, Intensity-Modulated - adverse effects
Salvage radiotherapy
Science
Science (multidisciplinary)
Toxicity
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Title Salvage prostate intensity modulated radiation therapy after cryotherapy failure
URI https://link.springer.com/article/10.1038/s41598-024-59406-8
https://www.ncbi.nlm.nih.gov/pubmed/38644367
https://www.proquest.com/docview/3042698574
https://www.proquest.com/docview/3043780489
https://pubmed.ncbi.nlm.nih.gov/PMC11033268
https://doaj.org/article/6387c7b1be4840b79089f9da4a193898
Volume 14
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