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Case Reports
. 2015 Jan;6(4):386-8.
doi: 10.5114/jcb.2014.46753. Epub 2014 Nov 6.

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

Wietse Eppinga  1 , Peter Vijverberg  2 , Rien Moerland  1 , Eric Brand  1 , Jochem van der Voort van Zyp  1 , Juus Noteboom  1 , Marco van Vulpen  1
Affiliations
Case Reports

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

Wietse Eppinga et al. J Contemp Brachytherapy. 2015 Jan.

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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Figures

Fig. 1
Fig. 1
T2-weighted image showing perineal metastasis between penile bulb and sphincter
Fig. 2
Fig. 2
Axial and coronal view of perineal metastasis (red line), prescribed dose of 35 Gy (red color wash) and 25 Gy (green color wash). Anal canal (purple) with lead string for demarcation
See this image and copyright information in PMC

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