Do you ever boost equivocal pelvic lymph nodes in a patient with low PSA who will get salvage XRT?
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?
1 Answer
Mednet MemberInvited Expert
Radiation Oncology · Varian Medical Systems/Allegheny health network
Answered on
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 nodal dise...
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