How do you work-up and manage a patient with prostate cancer and a borderline enlarged pelvic lymph node?
How does recommendation change if this a favorable intermediate, unfavorable intermediate or high risk patient? Is additional imaging or biopsy recommended? Do you ever recommend treatment without additional work up?
1 Answer
Mednet MemberInvited Expert
Radiation Oncology · AdventHealth Cancer Institute
Answered on
My approach in this case is to start patients on ADT(and abiraterone if possible) and monitor for LN response with a 3mo CT scan. If LN shrinks, I consider them to be N+ and treat the pelvis, boost the LN if it is still of adequate size to do so (typically >5mm), and continue ADT for 2 years before ...
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