Management of prostate carcinoma. Combination of pelvic lymphadenectomy, temporary Ir-192 implantation, and external irradiation.

• DOI: 10.1148/radiology.149.3.6417724
• Publication Date: 2014-07-08T17:22:25Z
• Authors: A M Syed; A Puthawala; L A Tansey; A M Shanberg; D Neblett; R Mendez; J W Barloon; J E Ingram; W T Naftel; C McNamara
• Keywords: Lymphadenectomy; Prostate carcinoma

Forty patients with prostate adenocarcinoma had bilateral pelvic lymphadenectomy, temporary Ir-192 implantation, and external irradiation. With the implant, received less than or equal to 3,000 rad (30 Gy) for A2 B1 3,500 (35 B2 C lesions in 40-45 hours. Ten days 2 weeks later, 4,000 (40 irradiation was given 4-5 using AP PA parallel opposed fields, a "box," rotation. Patients positive nodes were 5,000 (50 pelvis midline block at so that 7,000-7,500 (70-75 Gy). All free of local recurrence. Treatment tolerated well, rapid regression few complications.