Group,
This man had mono-brachytherapy (67 palladium seeds) on 07/96.
Dattoli's plan, or so he says, consists of:
 7 IMRT Treatments followed by Brachytherapy (47 Iodine 125 seeds) on
6/17/04 to be followed by 23 IMRT Treatments in October.
  After seeding he was placed on ADT3 and will be on it for 12 months.
  His prostate at initial seeding was 25cc and 11cc at time of  salvage
seeding.  RCOG turned him down for lack of salvage experience. He went
through an extensive evaluation by Dattoli before being accepted as a
suitable candidate.  He says Dattoli has been at this procedure for a
long time.  Part of the seeds were placed in the seminal vesicles and
perineural? area.  
   As for mestastes? this determination would be the same as brachy
salvage for RP or EBRT.  If he wasn't  certain it was local recurrence
i'm sure he wouldn't try it.
    This is secondhanded, but this man is known  to be truthful.
         John

Alan

With the caveat that tests were done that do not reveal metastases, the I suppose salvage radiation is a good option.   These days you can also get salvage radiation and chemo combined.

Vernon

 Vernon,

 You're right of course.  The only diagnostic tools I know that
 can tell us whether cancer has spread (bone scan, MRI)
 will only detect signs of spread that are big enough to
 show up.  Early stage metastasis might not be revealed
 by these tests.

 For whatever they're worth, I presume that Dr. Dattoli
 is using those tests.

 If the tests don't reveal metastasis, it's probably worth
 a shot at salvage radiation - wouldn't you think?

     Alan

 "Vernon" <openbox@verizon.net> wrote in message
 news:chcd79$p18$1@ngspool-d02.news.aol.com...
 > Hi Guys
 >
 > The assumption here is that the failure is due to cancerous cells that are
 > STILL in the prostate region.   How did the Doc. know that these cells are
 > not from metastases?   If the cancer has spread, burning the prostate region
 > to ashes will not cure the disease.
 >
 > Vernon
 >
 > "john brockhouse" <figma2@webtv.net> wrote in message
 > news:11730-41392650-569@storefull-3335.bay.webtv.net...
 > > Group,
 > >    I learned today that Dr. Dattoli in Sarasota, Fla. has been
 > > performing salvage brachytherapy on patients who have experienced a
 > > failure of Monobrachytherapy for a few years now.  This is great news
 > > for those of us who elected for SI without EBRT.
 > >      By the same token, Dr. Kelly at Cancer Centers of America in Tulsa
 > > has been experimenting with HDR for failed brachytherapy with some
 > > success.                             I don't expect to ever need it, but
 > > as you all know the future is never certain.
 > >                      John in OR
 > >
 >
 >