RESUMO
PURPOSE: To describe the efficacy of episcleral brachytherapy in a choroidal melanoma and circumscribed hemangioma arising in both eyes of the same patient. CASE REPORT: We present the case of a 47 year old man who presented decreased visual acuity a few months preceding initial consult. On fundoscopy, he presented a melanotic lesion in the right eye, and a red-orange choroidal mass in the macular area of the left eye. MATERIAL AND METHODS: B scan-ultrasound, fluorescein, and indocyanine green angiography, confirmed the diagnosis of choroidal melanoma in the right eye, and circumscribed choroidal hemangioma in the left eye. Episcleral brachytherapy with (125)I was performed in both eyes consecutively. RESULTS AND CONCLUSIONS: Bilateral episcleral brachytherapy successfully treated both tumors, preserving the eyes and useful visual function.
RESUMO
We review salvage external beam radiotherapy for biochemical recurrence after radical prostatectomy. Having defined recurrence, we analyze the risk factors of local recurrence and systemic evaluation of patients scheduled to undergo salvage radiotherapy. New techniques in external radiation, doses and volumes help us to define the areas minimizing treatment toxicity and improving the quality of the patient. We analyzed the literature to improve the therapeutic approach, based on currently known data, pending completion of further clinical trials. We describe a review about radiotherapy in biochemical failure after radical prostatectomy.
