Would you consider prostate SBRT in a patient with focal extracapsular extension?

Most of the time, the concern for ECE is based on MRI findings. Some of the time the concern for ECE is based on broad capsular contact or irregularity of the capsule. Previous studies have demonstrated that the distance of actual microscopic ECE is 5 mm or less. So suspected ECE or early ECE is inc...

20-50% of all prostate cancer patients have ECE (stage T3a), whether it is visible on imaging or not, depending on their risk group classification. RP surgical pathology literature clearly indicates that the typical distance of ECE beyond the prostate is 1-5 mm. I agree with @Dr. First Last, in that...

No.

It gets tricky, so I'd rather do hypofractionate by IMRT, 70Gy in 28 fractions: safe, short, and effective.