Do you ever boost equivocal pelvic lymph nodes in a patient with low PSA who will get salvage XRT?

Topics: Radiation Oncology • Genitourinary Cancers

Assume PSA less than 0.5. Would axumin positive nodes change your mind? What dose do you use? Do you require biopsy first to prove pathologic nodes?

Answer from: Radiation Oncologist at Community Practice

The question has two spins to it. Do we do it? Probably yes, as it's easy to do without much morbidity, if treating the pelvis to begin with. Does it help? We don’t know, as reactive nodes are not uncommon in the pelvis. Once PSMA scans are available, one would have a better estimation of noda...

Comments

Radiation Oncologist at Mallory Radiotherapy, PLLC
Suppose you are boosting a suspicious 1.8 cm obtur...

Radiation Oncologist at Varian Medical Systems/Allegheny health network
A node of 1.8 cm would not be consistent with PSA ...

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