Bilateral Pelvic Lymphadenectomy, Iridium 192 Template, and External Beam Therapy for Localized Prostatic Carcinoma: Complications and Results

High-Dose-Rate Brachytherapy in the Treatment of Carcinoma of the Prostate

“…We have already reported on the technique and long-term results with an LDR temporary interstitial iridium-192 implant using a transperineal template technique under ultrasound guidance with an 85% actuarial disease-free survival rate and 15% positive post-irradiation biopsies. 50 Khan et al 51 and others 52 have reported similar results. However, this technique involves manual loading of radioactive iridium-192 sources and radiation exposure (although within tolerance to personnel) during 40-48 hours of continuous irradiation.…”

Prediction of Pelvic Lymph Node Metastases by a Prostate-Specific Antigen and Prostatic Acid Phosphatase in Clinical T3/T4 M0 Prostatic Cancer

“…Though this staging operation can be done by a limited procedure without reduction of its diag nostic value, the intervention is still associated with a cer tain level of morbidity in often elderly men with concomi tant chronic diseases [5][6][7]. Before the routine use of clips to obliterate the lymphatic vessels, 3 of our patients thus encountered recurrent lymph cysts necessitating multiple N categories (fig.…”

“…However, this operation is combined with morbidity which, though low, must be taken into account in these elderly patients [5,6,7]. Therefore new methods are highly welcome which reflect pelvic lymph node métastasés, thus rendering lymphadenectomy less often necessary.…”

Brachytherapy for prostate cancer

“…It has primarily been used as a temporary implant, usually combined with external-beam radiation therapy as part of a "shrinking field" technique. [13][14][15]33,34 Some of the disadvantages inherent with permanent implant sources do not occur with this isotope because of its physical characteristics. The higher energy, for example, is less susceptible to tissue attenuation and penetrates a greater distance, reducing the chance of cold spots.…”