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?

Topics: Radiation Oncology • Genitourinary Cancers

Would you consider external beam radiation vs HDR vs LDR? What dose, margins, and OAR constraints would you use given prior treatment?

Answer from: Radiation Oncologist at Academic Institution

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 t...

Comments

Radiation Oncologist at UW Carbone Cancer Center
With just a couple of cases under my belt in this ...

Radiation Oncologist at University of Arizona Cancer Center
I would agree with considering HDR brachy as a pos...

Answer from: Radiation Oncologist at Community Practice

I would be interested to hear if anyone has seen urinary leakage from the vesicourethral anastomosis show similar signal on Axumin or PSMA PETs.

Comments

Radiation Oncologist at Ballad Health / Appalachian Radiation Oncology
N=1 for me. Measurable/rising PSA five years after...

Radiation Oncologist at Mallory Radiotherapy, PLLC
I have heard similar stories from colleagues who h...

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