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3/ A problem of dose ?
•
The salvage brachytherapy dose has been
usually reduced : with a
D90 of about 120
Gy
( Beyer, Burri, Lopez …)
•
Some other authors ( N’Guyen…) used an
almost conventional D90 of 145 Gy…
•
But N’Guyen reported both
a
high BFS (
%) d h hi h
f
d
70
an t e g est rate o gra e 3-4
toxicities …
•
The optimal dose in this setting thus
remains to be precisely defined …