Lymph Node Metastases, Prostate Cancer, Prostate Cancer Recurrent
Conditions
Brief summary
Single-institution retrospective analysis for predictive factors of prostate cancer patients presenting with isolated or limited lymph node (LN) recurrence (1-3 lesions) on F-Ccholine PET-CT (CholPET) treated with SBRT between January 2010 and July 2015.
Detailed description
Single-institution retrospective analysis of consecutive prostate cancer patients after definitive primary treatment, without local recurrence, presenting with isolated or limited lymph node (LN) recurrence (1-3 lesions) on F-Ccholine PET-CT (CholPET) treated with SBRT between January 2010 and July 2015. Endpoints of interest are biochemical response rate (defined as a reduction by at least 10% of the initial PSA value), time to biochemical recurrence (TBR) (defined as the time interval from SBRT until second PSA rise), and time interval between SBRT and ADT start. Univariate analysis is used to identify prognostic factors.
Interventions
Stereotactic Radiotherapy of lymphnode recurrence after prostatectomy +/- salvage radiotherapy
Sponsors
Study design
Eligibility
Inclusion criteria
* histologically proven diagnosis of prostate cancer * Radical prostatectomy (± salvage radiotherapy) * PSA relapse (defined by two consecutive rising PSA values \>0.2 ug/l) * one to three lymphnodes positive on Choline-PET * no recurrence in prostatic bed on Choline-PET * WHO performance status of 0-1 * no previous chemotherapy or ADT for prostate cancer.
Exclusion criteria
* primary treatment for prostate cancer by RT or brachytherapy * bone (M1b) metastases * visceral (M1c) metastases * any symptomatic nodal lesion
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| time to biochemical recurrence | 18 months | time interval from SBRT until second PSA rise |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| biochemical response rate | 18 months | reduction by at least 10% of the initial PSA value |
| time interval between SBRT and ADT start | 18 months | time interval between SBRT and ADT start |
Countries
Switzerland