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IMRT for Prostate Cancer
PRE-TREATMENT ASSESSMENT
TNM stage
Pathology – Gleason Score
PSA at presentation
Neo-adjuvant androgen deprivation for 3- 6 months prior to RT
Discuss adjuvant androgen deprivation therapy according to risk category
Prostate fiducial marker implant 3-4 weeks prior to CT planning scan
Ciprofloxacin antibiotics to be prescribed in clinic and started by patient the
evening before fiducial marker insertion.
Patients on anticoagulation require switching from warfarin to S/C heparin prior
to fiducial marker insertion.
Bowel and bladder preparation appointment booked 1 week before planning
scan
Consent form signed in clinic scanned onto CDR as a permanent record