What criteria do you use when considering treating the pelvic nodes in a salvage prostatectomy case versus covering only the postoperative bed?

Since we don't have any high-level evidence with which to guide us, this is a question with which I am constantly struggling, too, and frankly, my practice has changed over the years. In general, I will consider irradiating the pelvic nodes in patients with Gleason 8-10 tumors, seminal vesicle invas...

I think it's reasonable to approach post-op patients, certainly in the modern era of robotic surgery, much the same as you would de novo patients when it comes to addressing nodal RT. So, in general, in my practice, I consider nodal RT for anyone that has bGS (and sGS) 7 or above and an iPSA of 7 or...

The lack of high-level data actually drove @Dr. First Last and I to ask 1,000 radiation oncologists around the world how they decide. Here's what we found: Moghanaki et al., PMID 24390275. The manuscript is worth the read as it drills down into the variety of criteria that folks refer to when decidi...