Sigfredo Romero
Sigfredo Romero/LinkedIn

Sigfredo Romero: Stereotactic Radiotherapy in 3 Fractions for Localized Prostate Cancer

Sigfredo Romero, Unit Coordinator at GenesisCare in Spain, shared a post on LinkedIn:

“ASTRO 2025 | Stereotactic Radiotherapy in 3 Fractions for Localized Prostate Cancer.

The Italian group (Sanguineti et al.) presented the outcomes of an ultra-hypofractionated regimen of 40 Gy in 3 fractions (EOD) for patients with low- and favorable-intermediate–risk prostate cancer.

Population: 159 patients
Median follow-up: 59.8 months

Key Results

Oncological control: excellent, with only 4 documented failures

Late toxicity:
• Genitourinary G2 in 10.7%, no G3+
• Gastrointestinal G2–3 in 3.8%

Quality of life:

• Urinary symptoms (IPSS) improved significantly and remained stable
• Sexual function (IIEF-5) showed a gradual decline, with partial preservation in some patients

Authors’ conclusion:
Stereotactic radiotherapy with 40 Gy in 3 fractions is highly effective and well tolerated in patients with localized prostate cancer (low to favorable-intermediate risk).

Another step forward toward shorter, safe, and effective treatment schedules in prostate cancer radiotherapy.”

Stereotactic Radiotherapy

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