Salvage focal therapy and radical prostatectomy show similar cancer-specific survival but differ in complications, and a biomarker-driven, patient-centered approach (including reirradiation) is needed for personalized management.
Abstract
Highlights • Salvage focal therapy and radical prostatectomy show similar cancer-specific survival but differ in complications.• Lack of PSMA PET/CT and genomic risk assessment limits generalizability of current comparisons.• A biomarker-driven, patient-centered approach (including reirradiation) is needed for personalized management.
Take Home Message PSMA PET-derived volumetric data hold the potential to personalize treatment strategies depending on treatment response. Comprehensive data on PSMA expression dynamics, however, are still needed before this approach can be implemented in routine clinical practice.
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