← Return to 3C, PPC 8/12, highest GG5; T1c N0 M0 - 5 SBRT sessions to Prostate?

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There is no redo on radiation since there is a lifetime radiation limit. SBRT is typically 5 sessions. There is also IMRT/IGRT either hypo-fractionated at 20 to 28 fractions or traditional at 35+ fractions. As you noted this can treat the area around the prostate. The more fractions the lower the dose per fraction and usually milder side effects. Also, no RP surgery after radiation so this is an important decision. If young (< 60) might want to start with surgery even though that has a high percentage of reoccurrence.

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@jim18 Thank you for your reply. We plan to get a second opinion just to weigh options.

@jim18 I had SBRT, 36.25 Gy with a focal boost to 40 Gy and my RO stated if I got BCR both HDR and SBRT would be _possible_options. While the current NCCN Guidelines do not list them as First Line Treatment options, under specific criteria they are framed as investigational or highly selected salvage modalities