Concurrent chemoradiotherapy for bladder cancer with previous Prostate LDR?

[XRT_doc]

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Would you treat a patient who has been diagnosed with bladder cancer with concurrent chemoradiotherapy if they've previously received LDR prostate brachytherapy (more than a decade ago)?

 

[medgator]

I'd give it a shot if a radical was out of the question and the patient understood the risks.

Not sure how likely it will respond though given that it is likely a secondary malignancy given that history

 

[Palex80]

I'd do it too.

I would however suggest to modify your volumes (if you can). I wouldn't treat the prostatic urethra in this case.

 

[seper]

Tough one... If the tumor is at trigone, risk of disaster is too high, IMO.