Topics:
Radiation Oncology • Genitourinary Cancers
Would you consider salvage radiation in a recurrent prostate cancer with a positive pelvic node and high inguinal node on PET/Axumin, but negative inguinal biopsy?
Would you treat the inguinal nodes and how?
Answer from: Radiation Oncologist at Community Practice
I would treat this patient as having oligometastatic disease to the nodes, similar to the more common scenario of finding 1-3 para-aortic nodes beyond a typical pelvic XRT field.Assuming no prior radiation to these sites, I would try a VMAT plan as long as skin constraints are met for the inguinal s...
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Answer from: Radiation Oncologist at Academic Institution
I would have a discussion with the radiologist. Not all that lights up on Axumin is prostate cancer. It can depend on CT characteristics. If it was borderline on Axumin and you have a negative biopsy, I would leave him be.
If it's high inguinal and could easily be covered without additional toxicit...