What treatment would you offer for a patient with prior primary prostate radiation, with a biochemical progression to PSA >1.0 and negative PSMA scan?
Answer from: Radiation Oncologist at Academic Institution
I’m assuming the patient has already received a prostatectomy and received prostate bed radiation, with a rising PSA.
First, in terms of imaging, you may want to consider a contrasted pelvic MRI, which may reveal a small lesion in the prostate bed which may have been obscured by PET act...
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Answer from: Radiation Oncologist at Academic Institution
Just to clarify - the patient had a localized prostate cancer (no history of prostatectomy), received definitive radiation, and now the PSA is > 1.0? And a PSMA PET/CT is negative.
Based on the timeframe you are describing from end of prostate radiation, this could be a PSA bounce and not recurr...
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Radiation Oncologist at MUSC Health of Medical University of South Carolina
I concur with Dr. @Shinde's excellent points! Ano...
I concur with Dr. @Shinde's excellent points! Ano...
Answer from: Radiation Oncologist at Community Practice
ADT with salvage prostate fossa RT most likely including nodal region.
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Radiation Oncologist at Cancer Center at Lake Manassas
What about the scenario where the patient previous...
What about the scenario where the patient previous...
Radiation Oncologist at Varian Medical Systems/Allegheny health network
I read the initial question incorrectly as primary...
I read the initial question incorrectly as primary...