Would you treat a small focus of PET/Axumin uptake just below prior field of salvage prostate bed radiation just below a vesico-urethral anastomoses?
Would you consider external beam radiation vs HDR vs LDR? What dose, margins, and OAR constraints would you use given prior treatment?
2 Answers
Mednet Member
Radiation Oncology · Stony Brook University School of Medicine
Answered on
First, I assume there is a PSA recurrence and the patient has no evidence of disease outside of that one nodule.
I would first look at where the inferior edge of the initial post-prostatectomy field ends. The RTOG consensus guidelines recommend the inferior edge of the CTV to be 8-12 mm below the ve...
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Mednet Member
Radiation Oncology · Indiana University School of Medicine
Answered on
I would be interested to hear if anyone has seen urinary leakage from the vesicourethral anastomosis show similar signal on Axumin or PSMA PETs.
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