SALVAGE" RADIOTHERAPY AFTER RADICAL PROSTATECTOMY IN MODE OF HYPOFRACTIONATION
A rate of local recurrence after radical prostatectomy is about 25 - 66%. We have integrated scheme of hypofraction-ated salvage volume modulated arc therapy (VMAT) with simultaneous integrated boost (SIB) for patients with recurrence prostate cancer (PCa) after radical prostatectomy (RP). Radiotherapy has been prescribed to the regional lymphatic nodes to 46.8 Gy of 1.8 Gy each, to the prostate bed to 61.1 Gy of 2.35 Gy each and if region of clinical recurrence identified to 65 Gy of 2.5 Gy each in 26 fractions. As a result of treatment biochemical control is 90.2%, the level of local control - 100% after a median observation of 14 months. No grade 3 or greater acute and late toxicities were observed.