How do you approach a patient with a radiographically proven recurrence in the prostate bed after prostatectomy?
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3 AnswersMednet Member
Radiation Oncology · University of Chicago
We have been getting earlier referrals for salvage RT, so these types of cases have become less common for us to see. We would probably offer RT assuming there is no evidence of distant disease (we have begun using fluciclovine PETs selectively to see if it help with patient selection or alters trea...
Mednet Member
Radiation Oncology · Cleveland Clinic
I agree with @Dr. First Last's comments. I would typically recommend concurrent ADT and cover the entire prostate bed to 66-70 Gy while simultaneously boosting the nodular recurrence to 72-76 Gy as limited by normal tissue constraints. Of course, the decision to treat aggressively would be determine...