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Current Approaches in Prostate Cancer Radiotherapy
1Department of Radiation Oncology, University of Health Sciences, Basaksehir Cam and Sakura City Hospital, Istanbul, Turkey
DOI : 10.5222/GJU.2021.54264
Prostate cancer is one of the most common tumor in males. Radical prostatectomy, radiotherapy and watchful waiting are the main treatment options
in localized disease. Radiotherapy together with hormonotherapy is accepted as the standard of care in patients with advanced stages. Surgery or
radiotherapy has comparable local control and survival outcomes in localized disease. During recent years a significant reduction in the rate of serious
side effects has been achieved due to the development of modern radiotherapy techniques. With the use of these techniques such as Intensity-modulated
radiotherapy (IMRT), Image-guided radiotherapy (IGRT), Stereotactic body radiotherapy (SBRT), high doses can be given safely and the rates of serious
short-or long-term side effects have not exceeded 1 percent. Modern radiotherapy techniques allow dose escalation for the target volume, and due to its
achievement of sharp dose gradient around the target volume and enable to increase radiation doses homogeneously within the target volume without
exceeding the tolerance doses in organs at risk. In the last few years hypofractionation has gained popularity in the curative radiotherapy of prostate
cancer.
Keywords : prostate cancer, radiotherapy, intensity-modulated radiotherapy, stereotactic body radiotherapy, hypofraction
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