New Insights into Prostate Cancer Radiotherapy

A special issue of Cancers (ISSN 2072-6694). This special issue belongs to the section "Cancer Therapy".

Deadline for manuscript submissions: closed (15 October 2023) | Viewed by 2376

Special Issue Editor


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Guest Editor
Sidney Kimmel Cancer Center at Jefferson, Philadelphia, PA, USA
Interests: cancer surveillance, screening, and treatment for prostate cancer; outcomes research and cancer epidemiology; host factors and immunotherapy outcomes

Special Issue Information

Dear Colleagues,

Prostate cancer is one of the most common types of cancer. Over the past few decades, radiotherapy has played a major role in the treatment of this disease. With the development of technology and long-term clinical experience, radiotherapy is widely applied in all clinical stages of the disease and has made significant advances in treatment. Ongoing research into radiotherapy could further improve cancer control and survival outcomes for patients with this cancer.

This Special Issue focuses on the latest topics in radiotherapy for prostate malignancies, including the treatment of patients, basic research, clinical applications, etc., and will, hopefully, contribute to the advancement of current clinical and laboratory research on prostate cancer radiotherapy.

Dr. Grace Lu-Yao
Guest Editor

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Keywords

  • prostate cancer
  • radiotherapy
  • radiation therapy

Published Papers (1 paper)

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Research

13 pages, 271 KiB  
Article
A Contemporary Report of Low-Dose-Rate Brachytherapy for Prostate Cancer Using MRI for Risk Stratification: Disease Outcomes and Patient-Reported Quality of Life
by Mira Patel, William Tyler Turchan, Christopher G. Morris, Dana Augustine, Tianming Wu, Aytek Oto, Gregory P. Zagaja and Stanley L. Liauw
Cancers 2023, 15(4), 1336; https://doi.org/10.3390/cancers15041336 - 20 Feb 2023
Cited by 3 | Viewed by 2011
Abstract
Purpose: We examined a prospective consecutive cohort of low dose rate (LDR) brachytherapy for prostate cancer to evaluate the efficacy of monotherapy for unfavorable-intermediate risk (UIR) disease, and explore factors associated with toxicity and quality of life (QOL). Methods: 149 men with prostate [...] Read more.
Purpose: We examined a prospective consecutive cohort of low dose rate (LDR) brachytherapy for prostate cancer to evaluate the efficacy of monotherapy for unfavorable-intermediate risk (UIR) disease, and explore factors associated with toxicity and quality of life (QOL). Methods: 149 men with prostate cancer, including 114 staged with MRI, received Iodine-125 brachytherapy alone (144–145 Gy) or following external beam radiation therapy (110 Gy; EBRT). Patient-reported QOL was assessed by the Expanded Prostate Index Composite (EPIC) survey, and genitourinary (GU) and gastrointestinal (GI) toxicity were prospectively recorded (CTC v4.0). Global QOL scores were assessed for decline greater than the minimum clinically important difference (MCID). Univariate analysis (UVA) was performed, with 30-day post-implant dosimetry covariates stratified into quartiles. Median follow-up was 63 mo. Results: Men with NCCN low (n = 42) or favorable-intermediate risk (n = 37) disease were treated with brachytherapy alone, while most with high-risk disease had combined EBRT (n = 17 of 18). Men with UIR disease (n = 52) were selected for monotherapy (n = 42) based on clinical factors and MRI findings. Freedom from biochemical failure-7 yr was 98%. Of 37 men with MRI treated with monotherapy for UIR disease, all 36 men without extraprostatic extension were controlled. Late Grade 2+/3+ toxicity occurred in 55/3% for GU and 8/2% for GI, respectively. Fifty men were sexually active at baseline and had 2 yr sexual data; 37 (74%) remained active at 2 yr. Global scores for urinary incontinence (UC), urinary irritation/obstruction (UIO), bowel function, and sexual function (SF) showed decreases greater than the MCID (p < 0.05) in UC at 2 mo, UIO at 2 and 6 mo, and SF at 2–24 mo, and >5 yr. Analysis did not reveal any significant associations with any examined rectal or urethral dosimetry for late toxicity or QOL. Conclusion: Disease outcomes and patient-reported QOL support LDR brachytherapy, including monotherapy for UIR disease. Full article
(This article belongs to the Special Issue New Insights into Prostate Cancer Radiotherapy)
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