Welcome to Al-salama Oncology Cure

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Opening Hoursساعات العمل : Saturday to Wednesday- 2PM to 9PM
  Contact Usاتصل بنا : + 202 376 261 31

علاج سرطان البروستاتا, سرطان البروستاتا

Prostate Cancer

Prostate cancer has surpassed lung cancer as the most common cancer in men.

The different treatment modalities of localized prostate cancer are:

  • Radical Prostatectomy
  • Radical Radiotherapy

Radical radiotherapy
EBRT, or Radical Radiotherapy, is a non-surgical treatment for prostate cancer using high-energy X-rays

Who is it suitable for?
Most often used in older, less fit men or as a second-line treatment, when cancer is found to have spread beyond the gland.

How to Improve RT outcome?

  • Dose Escalation
  • Improved Biochemical Free Survival
  • Over All Survival
  • ADT with EBRT
  • Improved Overall Survival

How can we Escalate The Dose up to 80-90 Gy?
Proper fixation: Knee and Ankle Support devices

High Technology: IMRT or ARC Therapy

Very accurate daily setup:

  • Daily reproducible bladder and rectal filling
  • Daily on Board imaging with online matching (IGRT)

The first Priority in dose escalation is the Rectum

Rectal Constrains

  • V40 Gy < 60%, Ideally <35%
  • V65 Gy < 40%
  • V70 Gy 30%
  • V75 Gy 10%

Advantages of RT of Localized Prostate Cancer

  • Avoid surgical complications like bleeding, infection, infarction, pulmonary embolism.
  • Low risk of urinary incontinence and stricture.
  • Short term preservation of erectile function.

Disadvantages

  • course 8-9 weeks.
  • Temporary bladder , bowel symptoms
  • Probable Late erectile dysfunction.
  • Salvage prostatectomy is extremely morbid.