Vol 20, No 4 (2015)
Reviews
Published online: 2015-07-01

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Uroncor consensus statement: Management of biochemical recurrence after radical radiotherapy for prostate cancer: From biochemical failure to castration resistance

José López Torrecilla1, Asunción Hervás2, Almudena Zapatero3, Antonio Gómez Caamaño4, Victor Macías5, Ismael Herruzo6, Xavier Maldonado7, Alfonso Gómez Iturriaga8, Francesc Casas9, Carmen González San Segundo10
DOI: 10.1016/j.rpor.2015.04.003
Rep Pract Oncol Radiother 2015;20(4):259-272.

Abstract

Management of patients who experience biochemical failure after radical radiotherapy with or without hormonal therapy is highly challenging. The clinician must not only choose the type of treatment, but also the timing and optimal sequence of treatment administration. When biochemical failure occurs, numerous treatment scenarios are possible, thus making it more difficult to select the optimal approach. Moreover, rapid and ongoing advances in treatment options require that physicians make decisions that could impact both survival and quality of life.

The aim of the present consensus statement, developed by the Urological Tumour Working Group (URONCOR) of the Spanish Society of Radiation Oncology (SEOR), is to provide cancer specialists with the latest, evidence-based information needed to make the best decisions for the patient under all possible treatment scenarios.

The structure of this consensus statement follows the typical development of disease progression after biochemical failure, with the most appropriate treatment recommendations given for each stage. The consensus statement is organized into three separate chapters, as follows: biochemical failure with or without local recurrence and/or metastasis; progression after salvage therapy; and treatment of castration-resistant patients.

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Reports of Practical Oncology and Radiotherapy