For persistent PSA elevation after prostatectomy, would you recommend salvage radiation if pathologically negative nodes, but regional and non-regional lymphadenopathy on PSMA PET?

While based on classical staging methods, it appears that he would fulfill the criteria for salvage RT with a persistent PSA, it sounds like this patient has M1a disease by advanced imaging (possibly at presentation). I think that it is very unlikely that he would gain any meaningful benefit from ad...

Unfortunately, this is patient more in line with LATITUDE than any of the standard SRT studies. The role in this case of further focal therapy with both regional and non-regional nodes is less clear.

This patient is an outstanding candidate for intensified AR suppression. Should there have been only ...