'Case of the Month' from the Department of Urology, Oxford University Hospitals, Oxford, UK: stereotactic radiotherapy to the vas deferens for PSMA‐PET CT detected local recurrence 10 years after radical prostatectomy.

This article discusses a case of a 65-year-old man who experienced a local recurrence of prostate cancer 10 years after undergoing radical prostatectomy. The recurrence was detected through positron emission tomography-prostate-specific membrane antigen (PET-PSMA) imaging, which showed avidity of tracer at the distal end of the right vas deferens. The patient was successfully treated with MRI-guided radiotherapy (MR-gRT), resulting in an excellent response with no reported early toxicity. The article emphasizes the usefulness of PSMA-PET imaging in guiding salvage treatment for locally recurrent prostate cancer, allowing for highly targeted therapy and avoiding unnecessary toxicity. [Extracted from the article]