Salvage high dose rate brachytherapy after primary external beam irradiation in localized prostate cancer: a case report

No standard treatment exists for locally relapsed prostate cancer after primary exter nal beam radiotherapy with no evidence of distant metastases. Radical prostatecto my, brachytherapy, cryotherapy and high-intensity focused ultrasound are currently used as local salvage treatments. Data on the safety and effectiveness of high dose rate (HDR) brachytherapy in this scenario are limited.We report on a patient who has no evidence of disease and no late urinary or gastrointestinal toxicity 33 months after receiving HDR treatment for recurrent prostate cancer.