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Would you consider SBRT to a perirectal node after previous external beam and prostate brachytherapy?

Assume this is a PET Axumin avid node and is only site of disease. Previously this high risk prostate cancer patient had 45 Gy to the whole pelvis and I-125 to 110Gy
1 Answer
Mednet Member
Mednet Member
Radiation Oncology · Beth Israel Deaconess Medical Center/Harvard Medical School
Answered on

It is dependent on many variables. If the perirectal lymph nodes are the only site of metastatic disease, then radiation should be considered. The risk of radiation needs to weighed against the possibility of cure. For instance, if the patient presented with a PSA of 80, then the likelihood that the...

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