Bulletin N° 04/2008 : Radiothérapie après prostatectomie : expérience au Luxembourg de 2005 à 2006 M.Untereiner, S.Renard-Oldrini, H.Mecellem, D.Burie, Y.Lassen, R.Ruchaud Phy, S.Joseph Phy, L.Harzee Phy
	Radical prostatectomy is a therapeutic option for the treatment of localized prostate cancer (T1 and T2). The prognostic factors which define risks of recurrence after prostatectomy are : capsular invasion, invasion of resection margins, seminal vesicle invasion. Two randomized trials show that adjuvant radiotherapy improves local control andbiochemical recurrence-free survival. Between 2005 and 2006, 12 patients of Centre François Baclesse have been irradiated on theprostatic loge. Immediate post-operative radiotherapy was preferably used. Late toxicity (grade 1) occurred only in one patient (1 case out of 8). Based on the literature, immediate postoperative irradiation is preferentially proposed in case of unfavourable factors, or possibly used secondly, in case of biological recurrence (in early situation i.e. PSA < 0.5). Telécharger l'article complet
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