USE OF PERCUTANEOUS TRANSPERINEAL AU-198 SEEDS TO TREAT RECURRENT PROSTATE ADENOCARCINOMA AFTER FAILURE OF DEFINITIVE RADIOTHERAPY

被引:28
作者
LOENING, SA [1 ]
TURNER, JW [1 ]
机构
[1] UNIV IOWA,DEPT UROL,IOWA CITY,IA 52242
关键词
INTERSTITIAL; BRACHYTHERAPY; PROSTATIC NEOPLASMS;
D O I
10.1002/pros.2990230403
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Patients who fail external radiation therapy for prostatic cancer pose a therapeutic challenge. No further external radiation treatment can be delivered safely to the local lesion, although some patients are candidates for salvage surgery. In this study, 31 patients who failed prior external beam radiotherapy received percutaneous transperineal placement of gold seeds ((198)AU). Initial prostate volume was 17.7 cc and decreased to 10 cc 24 months after Au-198 implantation. Of 15 patients biopsied at 12 months after treatment, 4 (27%) were positive, 6 (40%) were negative, and 5 (33%) showed prostate cancer with radiation changes. Two of three patients have died of prostate cancer, with an overall 5-year estimated survival of 67%. Interstitial brachytherapy was found to be an additional well-tolerated treatment modality in this group of 31 patients. (C) 1993 Wiley-Liss, Inc.
引用
收藏
页码:283 / 290
页数:8
相关论文
共 22 条
  • [1] PERCUTANEOUS TRANSPERINEAL PLACEMENT OF AU-198 SEEDS FOR TREATMENT OF CARCINOMA OF THE PROSTATE
    CRUSINBERRY, RA
    KRAMOLOWSKY, EV
    LOENING, SA
    [J]. PROSTATE, 1987, 11 (01) : 59 - 67
  • [2] DEFINITIVE RADIATION-THERAPY FOR PROSTATIC-CARCINOMA - MAYO CLINIC EXPERIENCE
    CUPPS, RE
    UTZ, DC
    FLEMING, TR
    CARSON, CC
    ZINCKE, H
    MYERS, RP
    [J]. JOURNAL OF UROLOGY, 1980, 124 (06) : 855 - 859
  • [3] Flocks R H, 1975, Urol Clin North Am, V2, P163
  • [4] TREATMENT OF CARCINOMA OF THE PROSTATE BY INTERSTITIAL RADIATION WITH RADIO-ACTIVE GOLD (AU198) - A PRELIMINARY REPORT
    FLOCKS, RH
    KERR, HD
    ELKINS, HB
    CULP, D
    [J]. JOURNAL OF UROLOGY, 1952, 68 (02) : 510 - 522
  • [5] CARCINOMA OF THE PROSTATE - RESULTS OF POST-IRRADIATION BIOPSY
    FREIHA, FS
    BAGSHAW, MA
    [J]. PROSTATE, 1984, 5 (01) : 19 - 25
  • [6] CARCINOMA OF THE PROSTATE - LOCAL-CONTROL WITH EXTERNAL BEAM RADIATION-THERAPY
    GIBBONS, RP
    MASON, JT
    CORREA, RJ
    CUMMINGS, KB
    TAYLOR, WJ
    HAFERMANN, MD
    RICHARDSON, RG
    [J]. JOURNAL OF UROLOGY, 1979, 121 (03) : 310 - 312
  • [7] HAFERMANN MD, 1983, CLIN ONCOLO, V2, P371
  • [8] TRANSPERINEAL I125 SEED IMPLANTATION IN PROSTATIC-CANCER GUIDED BY TRANS-RECTAL ULTRASONOGRAPHY
    HOLM, HH
    JUUL, N
    PEDERSEN, JF
    HANSEN, H
    STROYER, I
    [J]. JOURNAL OF UROLOGY, 1983, 130 (02) : 283 - 286
  • [9] IDENTIFICATION OF RESIDUAL CANCER IN THE PROSTATE FOLLOWING RADIATION-THERAPY - ROLE OF TRANS-RECTAL ULTRASOUND GUIDED BIOPSY AND PROSTATE SPECIFIC ANTIGEN
    KABALIN, JN
    HODGE, KK
    MCNEAL, JE
    FREIHA, FS
    STAMEY, TA
    [J]. JOURNAL OF UROLOGY, 1989, 142 (02) : 326 - 331
  • [10] RADICAL PROSTATECTOMY AND ADJUVANT RADIOACTIVE GOLD SEED PLACEMENT - RESULTS OF TREATMENT AT 5 AND 10 YEARS FOR CLINICAL STAGE-A2, STAGE-B1 AND STAGE-B2 CANCER OF THE PROSTATE
    KWON, ED
    LOENING, SA
    HAWTREY, CE
    [J]. JOURNAL OF UROLOGY, 1991, 145 (03) : 524 - 531