Topics:
Radiation Oncology • Genitourinary Cancers
Is there a role for a salvage lymph node dissection in patients who present with a biochemical failure after prostatectomy?
We are being referred more patients for salvage radiation after this procedure, not sure what the evidence is.
Answer from: Radiation Oncologist at Academic Institution
It's an important question without randomized data to support an answer. Even this question will evolve as we bring on-board more advanced imaging such as Fluciclovine PET/CT, PSMA PET, etc. These scans are continuuing to introduce new challenges as we start to resolve the location of lesions and so...
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Answer from: Radiation Oncologist at Academic Institution
There is a prospective randomized trial headed by the NRG looking at the impact of pelvic nodal RT in this setting but there is no randomized data looking at pelvic LND in this setting so at this time the use of pelvic LND should be considered investigational and not proven to provide clinical benef...