Would you consider salvage RT in a prostate cancer patient with controlled Crohns disease?
In my experience, I have now treated two patients with Crohn's with definitive (not adjuvant/salvage) EBRT. Both had quiescent disease for years, clinically and endoscopically/pathologically, and were not on any pharmacotherapy. Both tolerated treatment well with no acute/late toxicities. One was ve...
Important to know if the large bowel is involved or not as that makes the decision a bit easier. I would not treat pelvic node either way to decrease exposure of the small bowel.
I have treated several men in the post-prostatectomy setting with IBD. In general, I have used imaging (Fluciclovine-PET, now PSMA-PET!) to try to localize the disease as much as possible to keep the field as tight as possible. In addition, I like to use these tests to confirm that there is absolute...