title: Perineal recurrence of prostate cancer six years after trans-perineal brachytherapy.
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.
authors.affiliation: Department of Radiation Oncology, University Medical Center Utrecht, The Netherlands.
authors.forename: Wietse
authors.initials: W
authors.lastname: Eppinga
authors.affiliation: Department of Urology, St. Antonius Hospital Nieuwegein, The Netherlands.
authors.forename: Peter
authors.initials: P
authors.lastname: Vijverberg
authors.affiliation: Department of Radiation Oncology, University Medical Center Utrecht, The Netherlands.
authors.forename: Rien
authors.initials: R
authors.lastname: Moerland
authors.affiliation: Department of Radiation Oncology, University Medical Center Utrecht, The Netherlands.
authors.forename: Eric
authors.initials: E
authors.lastname: Brand
authors.affiliation: Department of Radiation Oncology, University Medical Center Utrecht, The Netherlands.
authors.forename: Jochem
authors.initials: J
authors.lastname: van der Voort van Zyp
authors.affiliation: Department of Radiation Oncology, University Medical Center Utrecht, The Netherlands.
authors.forename: Juus
authors.initials: J
authors.lastname: Noteboom
authors.affiliation: Department of Radiation Oncology, University Medical Center Utrecht, The Netherlands.
authors.forename: Marco
authors.initials: M
authors.lastname: van Vulpen
keywords: brachytherapy; perineal seeding; prostate cancer; radiotherapy; seeds
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