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Hello all,
Just wanted to get thoughts regarding a unique case.
55 y/o male with non-secretory GS 5+4 prostate cancer following RP/LND 2-3 years ago and treated with adjuvant long-term ADT alone, who now presents with a local bladder recurrence s/p salvage cystectomy with multiple +margins. No gross disease on post-op MRI and Axumin just shows mild avidity in the operative bed but no mets.
What is the role for XRT in his case? Specifically, what would be your treatment volumes and to what dose would you treat?
Initial management at diagnosis was at an outside PP center and it’s unclear why he wasn’t at least referred to discuss adjuvant XRT following initial surgery. Although his post-op PSAs have remained undetectable given non-secretory histology (iPSA was ~2).
Sent from my iPhone using SDN mobile
Just wanted to get thoughts regarding a unique case.
55 y/o male with non-secretory GS 5+4 prostate cancer following RP/LND 2-3 years ago and treated with adjuvant long-term ADT alone, who now presents with a local bladder recurrence s/p salvage cystectomy with multiple +margins. No gross disease on post-op MRI and Axumin just shows mild avidity in the operative bed but no mets.
What is the role for XRT in his case? Specifically, what would be your treatment volumes and to what dose would you treat?
Initial management at diagnosis was at an outside PP center and it’s unclear why he wasn’t at least referred to discuss adjuvant XRT following initial surgery. Although his post-op PSAs have remained undetectable given non-secretory histology (iPSA was ~2).
Sent from my iPhone using SDN mobile