Do you use nomograms to decide whether to treat pelvic nodes in high-intermediate to high risk prostate cancer?

Which risk estimator is felt to be the most accurate and what threshold?

What's the best contouring guidelines for ENI for prostate?

Answer from: Radiation Oncologist at Academic Institution

Rather than using risk estimate, my practice is to treat nodes for all high risk patients unless there is a contraindication. The nodal group I treat is distal common iliac, external, internal iliac, obturator and presacral region. The contouring principal is same for all pelvic malignancies and is ...

Comments

Radiation Oncologist at Collom and Carney Clinic Assoc
Thanks! This is my practice, also.

Answer from: Radiation Oncologist at Community Practice

Elective pelvic nodal treatment has remained controversial for my entire 20 year career thus far, and I predict it will remain controversial for another 20 years!

Answer from: Radiation Oncologist at Academic Institution

Interesting--I am in the group who do not give elective nodal irradiation in this setting unless proven regional node positivity.

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Do you use nomograms to decide whether to treat pelvic nodes in high-intermediate to high risk prostate cancer?

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