Recommendations for radiation therapy in oligometastatic prostate cancer: An ESTRO-ACROP Delphi consensus

被引：36

作者：

Zilli, Thomas ^{[1
,2
,3
,33
]}

Achard, Verane ^{[2
,3
]}

Dal Pra, Alan ^{[4
]}

Schmidt-Hegemann, Nina ^{[5
]}

Jereczek-Fossa, Barbara Alicja ^{[6
,7
]}

Lancia, Andrea ^{[8
]}

Ingrosso, Gianluca ^{[9
]}

Alongi, Filippo ^{[10
,11
]}

Aluwini, Shafak ^{[12
]}

Arcangeli, Stefano ^{[13
]}

Blanchard, Pierre ^{[14
,15
]}

Moreno, Antonio Conde ^{[16
]}

Counago, Felipe ^{[17
,18
,19
]}

Crehange, Gilles ^{[20
]}

Dirix, Piet ^{[21
]}

Iturriaga, Alfonso Gomez ^{[22
]}

Guckenberger, Matthias ^{[23
]}

Pasquier, David ^{[24
,25
]}

Sargos, Paul ^{[26
]}

Scorsetti, Marta ^{[27
]}

Supiot, Stephane ^{[28
]}

Tree, Alison C. ^{[29
]}

Zapatero, Almudena ^{[30
]}

Le Guevelou, Jennifer ^{[2
,3
]}

Ost, Piet ^{[31
,32
]}

Belka, Claus ^{[5
]}

机构：

[1] Oncol Inst Southern Switzerland, Dept Radiat Oncol, EOC, Bellinzona, Switzerland

[2] Geneva Univ Hosp, Dept Radiat Oncol, Geneva, Switzerland

[3] Univ Geneva, Fac Med, Geneva, Switzerland

[4] Univ Miami, Dept Radiat Oncol, Miller Sch Med, Miami, FL USA

[5] LMU Univ Hosp Munich, Dept Radiat Oncol, Munich, Germany

[6] Univ Milan, Dept Oncol & Hematooncol, Milan, Italy

[7] IEO European Inst Oncol, Div Radiotherapy, IRCCS, Milan, Italy

[8] Policlin San Matteo Pavia Fdn IRCCS, Dept Radiat Oncol, Pavia, Italy

[9] Univ Perugia, Dept Radiat Oncol, Dept Med & Surg, Perugia, Italy

[10] IRCCS Sacro Cuore Don Calabria Hosp, Canc Care Ctr, Adv Radiat Oncol Dept, Negrar Di Valpolicella, Italy

[11] Univ Brescia, Brescia, Italy

[12] Univ Med Ctr Groningen, Dept Radiat Oncol, Groningen, Netherlands

[13] Univ Milano Bicocca, Sch Med & Surg, Dept Radiat Oncol, Milan, Italy

[14] Univ Paris Saclay, Villejuif, France

[15] Gustave Roussy, Dept Radiat Oncol, Inserm Oncostat U1018, Villejuif, France

[16] CEU Cardenal Herrera Univ, Hosp Univ & Politecn La Fe, Radiat Oncol Dept, Castellon de La Plana, Spain

[17] Hosp Univ Quironsalud Madrid, Dept Radiat Oncol, Madrid, Spain

[18] Hosp La Luz, Dept Radiat Oncol, Madrid, Spain

[19] Univ Europea, Sch Biomed Sci, Med Dept, Madrid, Spain

[20] Inst Curie, Dept Radiat Oncol, Paris, France

[21] Iridium Network, Dept Radiat Oncol, Antwerp, Belgium

[22] Basque Country Univ UPV EHU, Cruces Univ Hosp, Biocruces Hlth Res Inst, Bizkaia, Spain

[23] Univ Zurich, Univ Hosp Zurich, Dept Radiat Oncol, Zurich, Switzerland

[24] Ctr Oscar Lambret, Acad Dept Radiat Oncol, Lille, France

[25] Lille Univ, CRIStAL UMR CNRS 9189, Lille, France

[26] Inst Bergonie, Dept Radiotherapy, Bordeaux, France

[27] IRCCS Humanitas Res Hosp, Radiotherapy & Radiosurg Dept, Via Manzoni 56, I-20089 Milan, Italy

[28] Inst Cancerol Ouest Rene Gauducheau, Dept Radiat Oncol, St Herblain, France

[29] Royal Marsden NHS Fdn Trust, Inst Canc Res, Dept Radiotherapy, London, England

[30] Univ Hosp Princesa, Hlth Res Inst, Dept Radiat Oncol, Madrid, Spain

[31] Univ Ghent, Dept Human Struct & Repair, Ghent, Belgium

[32] Iridium Network, Dept Radiat Oncol, GZA ziekenhuizen, Antwerp, Belgium

[33] EOC, Oncol Inst Southern Switzerland, Dept Radiat Oncol, Switzerland Via Osped, CH-6500 Bellinzona, Switzerland

来源：

RADIOTHERAPY AND ONCOLOGY | 2022年 / 176卷

关键词：

Prostate cancer; Radiotherapy; SBRT; Elective nodal radiotherapy; Oligometastases; ESTRO-ACROP; STEREOTACTIC BODY RADIOTHERAPY; METASTASIS-DIRECTED THERAPY; SALVAGE RADIOTHERAPY; OLIGORECURRENT; RECURRENCE; VOLUME; MULTICENTER; PROGRESSION; TOMOGRAPHY; PATTERNS;

D O I：

10.1016/j.radonc.2022.10.005

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Background and purpose: Oligometastatic prostate cancer is a new and emerging treatment field with only few prospective randomized studies published so far. Despite the lack of strong level I evidence, metastasis-directed therapies (MDT) are widely used in clinical practice, mainly based on retrospective and small phase 2 studies and with a large difference across centers. Pending results of ongoing prospec-tive randomized trials, there is a clear need for more consistent treatment indications and radiotherapy practices.Material and methods: A European Society for Radiotherapy and Oncology (ESTRO) Guidelines Committee consisting of radiation oncologists' experts in prostate cancer was asked to answer a dedicated question-naire, including 41 questions on the main controversial issues with regard to oligometastatic prostate cancer.Results: The panel achieved consensus on patient selection and routine use of prostate-specific mem-brane antigen positron emission tomography (PSMA PET) imaging as preferred staging and restaging imaging. MDT strategies are recommended in the de novo oligometastatic, oligorecurrent and oligopro-gressive disease setting for nodal, bone and visceral metastases. Radiation therapy doses, volumes and techniques were discussed and commented.Conclusion: These recommendations have the purpose of providing standardization and consensus to optimize the radiotherapy treatment of oligometastatic prostate cancer until mature results of random-ized trials are available.(c) 2022 The Author(s). Published by Elsevier B.V. Radiotherapy and Oncology 176 (2022) 199-207 This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).

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页码：199 / 207

页数：9

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