Do you treat pelvic lymph node positive prostate cancer with definitive radiotherapy?  

Unfortunately, there is relatively little data to guide us in the management of clinically lymph-node positive prostate cancer. As mentioned above, previous RTOG trials included patients with clinically and pathologically positive prostate cancer, however, these only addressed the question of wheth...

In the postoperative literature, we are seeing more data to justify treatment of men with higher risk prostate cancer – this includes both the 3 classic adjuvant RCTs (although these only included node-negative patients), and retrospective analyses for LN+ cancer that show reduced ...

Great question, this always comes up in our GU tumor board and I don’t think there is a right answer, but I would be interested to hear the practice patterns of experts in our field. At our institution we do not treat with definitive radiation for patients with clinically positive lymph nodes ...

Our dose to involved node is 55 Gy in 25 fraction