Abstract

MENGUAL CLOQUELL, J.L. et al. Adyuvant and salvage radiotherapy after radical prostatectomy. Actas Urol Esp [online]. 2005, vol.29, n.6, pp.553-561. ISSN 0210-4806.

After radical prostatectomy is important to identify patients who have a high risk of microscopic residual disease without micrometastatic disease. Adyuvant RT, in retrospective studies, reduce the risk of recurrence and is more efficacious than salvage RT and can improve PSA relapse-free survival and should have an impact on long-term overall survival. The benefit of androgen suppresion could be due to a synergistic interaction and may possibly eliminate occult systemic disease. Appropiate selection to identify subgroups of patients who may benefit from salvage RT, even for those patients at the highest risk; and whether some form of hormone ablation should accompany. To predict the biochemical failure and the risk of metastasic disease after salvage RT. We analize the references to selection an appropiate therapy. Improves outcomes will need to be tested in randomized trials.

Keywords : Radical Prostatectomy; Adyuvant and salvage RT; Hormonal therapy.

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