No intuito de ajudar um companheiro que também enfrenta câncer da próstata, dei uma espiada no que meu próprio hospital diz a respeito da prostatectomia depois da braquiterapia e da radioterapia.
Fiz a busca num site novo, russo, de busca, o Yandex, que vai competir com o Google. Sob “prostate cancer” havia 430 mil entries e sobre “salvage prostatectomy” havia 416.
Vai abaixo o que informa o Sloan-Kettering:
Salvage treatment refers to treatment after failure of radiation therapy. Salvage treatment options vary widely for men with local recurrence of prostate cancer after radiation therapy. Options include continued observation; immediate, continuous, or intermittent hormonal therapy; or further local therapy with radio-frequency thermal ablation, high-intensity focused ultrasonography (known as HIFU), salvage cryoablation, salvage brachytherapy, or salvage radical prostatectomy. Of these treatments, only salvage radical prostatectomy has been shown to eliminate cancer for ten years or more.2
While technically challenging, salvage prostatectomy provides excellent local control of prostate cancer. Salvage radical prostatectomy offers immediate intraoperative and postoperative results similar to those for men undergoing standard radical prostatectomy.
Candidates for salvage prostatectomy should be otherwise healthy, with a life expectancy of greater than ten years, and have a cancer that was initially — and is still potentially — curable with radical prostatectomy. The chance for a cure with salvage prostatectomy is substantially greater in those with cancer confined to the prostate. Surgery can be safely performed after unsuccessful external beam radiotherapy, brachytherapy, or combinations of these techniques.