How do you approach ADT and pelvic lymph node radiation in the salvage setting for patients with a PSA <0.5 ng/mL?

This is an important and timely question.

As I have previously written on this forum, I highly recommend those interested in first reading https://www.ncbi.nlm.nih.gov/pubmed/30238901, which outlines those who should and shouldnt receive ADT with salvage RT. In general, those with PSA <0.5 should rec...

Axumin and PSMA scan will redefine how we treat in salvage setting. Lower salvage rate with higher PSA in previous studies could have been because we were treating the wrong target (prostatic bed) vs. recurrent nodal disease which were not picked up by conventional scan (Higher sensitivity of these ...