How would you manage an elderly, medically inoperable patient with high-grade, muscle-invasive bladder cancer who has already received definitive prostate irradiation?

Topics: Radiation Oncology • Genitourinary Cancers

Answer from: Radiation Oncologist at Academic Institution

The more patients with prostate cancer we treat and the longer they live, the more likely this is to happen. While cystectomy is the right thing to recommend it is often a very difficult operation, continent diversions are impossible, and the risk of bowel injury high. If the patient is elderly then...

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Radiation Oncologist at CarolinaEast Radiation Oncology
@Anthony L. Zietman, Would you provide some insigh...

Radiation Oncologist at Dartmouth-Hitchcock
Thanks, this is helpful. Still may be tricky, but ...

Answer from: Radiation Oncologist at Academic Institution

I had a recent patient like this and I've found using IGRT helps. We've used intravesicle markers or MR-IGRT to better focus the boost for the recurrence and new cases as well.

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Radiation Oncologist at South Sacramento Medical Center
@Jeff M. Michalski:I can never persuade the urolog...

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