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Related Concept Videos

Cancer Therapies02:49

Cancer Therapies

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Cancer therapies are various modes of treatment, such as surgery, radiation therapy, and chemotherapy that are administered to cancer patients.
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
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Clinical Outcomes of Hypofractionated Radiotherapy With 12 Fraction for Low- and Intermediate-Risk Localized Prostate

Kota Iida1, Yuriko Hayashi1, Kosuke Narita1

  • 1Department of Urology, Tane General Hospital, Osaka, Japan.

International Journal of Urology : Official Journal of the Japanese Urological Association
|February 27, 2026
PubMed
Summary

Hypofractionated radiotherapy offers similar cancer control to conventional treatment for low- to intermediate-risk prostate cancer. This approach shows an acceptable toxicity profile, making it a viable alternative for patients.

Keywords:
adverse eventsbiochemical recurrenceconventional fractionationhypofractionated radiotherapylocalized prostate cancer

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Area of Science:

  • Oncology
  • Radiation Oncology
  • Urology

Background:

  • Hypofractionated radiotherapy is gaining traction for prostate cancer treatment.
  • Evidence supports the clinical use of hypofractionation in managing prostate cancer.

Purpose of the Study:

  • To compare oncological outcomes and toxicity between hypofractionated and conventional radiotherapy for prostate cancer.
  • To evaluate the efficacy and safety of hypofractionated radiotherapy in a real-world setting.

Main Methods:

  • Retrospective study including 96 patients with low- to intermediate-risk prostate cancer.
  • Comparison between conventional radiotherapy (78.0 Gy/39 fractions) and hypofractionated radiotherapy (51.6 Gy/12 fractions).
  • Assessment of survival outcomes and acute/late toxicities (urinary and bowel).

Main Results:

  • Comparable oncological outcomes with only one biochemical recurrence in the conventional group.
  • No significant difference in acute grade ≥2 urinary or bowel toxicity.
  • Trends towards higher late urinary toxicity in the hypofractionated group and late bowel toxicity in the conventional group, without statistical significance.

Conclusions:

  • Hypofractionated radiotherapy is a safe and effective alternative for low- to intermediate-risk prostate cancer.
  • It demonstrates comparable oncological control and an acceptable toxicity profile to conventional fractionation.
  • Supports the broader adoption of hypofractionation in prostate cancer management.