How would you treat prostate cancer that recurs after radical prostatectomy with invasion into bladder, rectum and musculature?
If radiation, what type? EBRT or brachytherapy? Any other techniques you would recommend, such as rectal balloon?
Answer from: Radiation Oncologist at Academic Institution
In a case with extensive disease like this, I would first restage ideally with a molecular study like PSMA to ensure no evidence of metastatic disease.
In the absence of metastatic disease, I would recommend starting with ADT (+/- abiraterone or other novel anti-androgen) to downsize disease away f...
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