Treatment options for recurrent prostate cancer after radiation
Dear OncoLink "Ask The Experts,"
What types of treatment are presently available when prostate cancer returns after radiation treatment? I am two years out from treatment and the tumor was considered to be localized within the prostate.
OncoLink's Medical Correspondent, responds:
When prostate cancer returns after radiation therapy, the standard of care is the institution of hormonal therapy. Hormonal therapy can be effective treatment, even for a number of years, but eventually the cancer begins to grow back. An important question is where the prostate cancer recurs. If it comes back in the prostate gland only, a patient may be eligible for experimental local therapies that are attempting to cure the cancer. For example, there is a trial currently ongoing at the University of Pennsylvania using Photodynamic Therapy (PDT). If the cancer has recurred in distant locations (metastases), the treatments are considered palliative. There are also experimental therapies that are being evaluated in the metastatic setting after a patient fails hormonal therapy. These studies generally involve the use of chemotherapy. Please visit the OncoLink/Emerging Med clinical trials section to see if there are any trials that you may be eligible to investigate.