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Horwitz EM, Uzzo RG, Miller N, Theodorescu D
Brachytherapy for prostate cancer follow-up and management of treatment failures
Urologic Clinics of North America (2003) 30:737--50, viii-ix..
The use of prostate brachytherapy for the treatment of early-stage, low-grade, low-volume carcinoma of the prostate continues to rise. Given the prolonged natural history of these early lesions, treatment failures may take many years or even a decade or more before becoming clinically evident. It is therefore likely that as the brachytherapy data mature, clinicians will be asked to help manage a potentially large cohort of men who have failed this local therapy-a scenario that will provide a number of unique challenges for the treatment of the disease and the management of the lower urinary tract. This article offers a contemporary review and suggestions with regard to the follow-up of patients who have undergone prostate brachytherapy, including low-dose rate permanent implants and high-dose rate temporary implants for the management of localized prostate cancer. In addition, current controversies in defining biochemical failure following radioactive implantation-including ! important data regarding the "prostate-specific antigen bounce" phenomenon-are discussed. Finally, a comprehensive review of the management of local recurrence following brachytherapy is offered.
Publication Date: 2003-11-01.
Last updated on Monday, May 04, 2020