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Advanced Prostate Cancer

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Stereotactic Ablative Radiotherapy for Management of Spinal Metastases

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Spinal metastases are a source of significant pain and morbidity, especially in patients with advanced prostate cancer. This study evaluated the impact of stereotactic ablative radiotherapy (SABR) in patients with metastatic spinal lesions. In all, 59 unique publications with 5655 patients who underwent SABR for spinal metastases were included. The authors found spinal SABR was associated with 1-year local control rates of approximately 80% to 90%. The most commonly discussed adverse effect was development of a vertebral compression fracture, with incidence of 10% to 15%.

The authors conclude that spinal SABR may be an effective treatment option for certain patients with spinal metastases, with excellent local control rates and moderate rates of adverse effects. Further study, especially in the setting of oligometastatic prostate cancer, will be important to better understand biologic activity.

– Gautam Jayram, MD

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https//practiceupdate.com/content/...

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TNCanuck
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Walkingwell profile image
Walkingwell

Thank you for posting. I had this therapy for spinal mets August 2019, in line with the report, worked well, significant pain reduction. So far, so good.

TNCanuck profile image
TNCanuck in reply to Walkingwell

That's great!

j-o-h-n profile image
j-o-h-n in reply to Walkingwell

Well keep Walking.............

Good Luck, Good Health and Good Humor.

j-o-h-n Monday 04/27/2020 4:29 PM DST

Walkingwell profile image
Walkingwell in reply to j-o-h-n

I am! I will! Radiotherapy was helped by my telling technicians at each session: Beam me at T7, please! (Yes, we know, they said.)

j-o-h-n profile image
j-o-h-n in reply to Walkingwell

Way to go......... Congrats!!!

Good Luck, Good Health and Good Humor.

j-o-h-n Tuesday 04/28/2020 12:07 PM DST

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