Would you ever omit or reduce prostate bed radiation in a post-prostatectomy patient who develops recurrence in pelvic LNs?
Which criteria/factors would you use to decide whether to de-intensify prostate bed/fossa treatment? For instance, surgical margin status or biochemical failure free interval?
1 Answer
Mednet MemberInvited Expert
Radiation Oncology · Varian Medical Systems/Allegheny health network
Answered on
In STORM, which is a phase 2 study looking at elective nodal RT vs SBRT for nodal recurrence presented at ESTRO, local recurrence was 5% in the group that got prostate bed plus nodal RT vs. 14% in the group that received only SBRT to node suggesting benefit of treating prostate bed for nodal relapse...
Join for free or sign in to see the full answer