For cT2N0 bladder cancer receiving definitive chemoRT, do you cover the prostate if you are not treating pelvic nodes?
Is there a strong rationale for treating the whole prostate (not prostatic urethra) electively to 41-50 Gy?
Answer from: Radiation Oncologist at Academic Institution
I generally include the prostatic urethra but I don’t intentionally treat the entire prostate gland. The exception would be a patient who has a concurrent clinically significant cancer which is not very common. By avoiding the posterior prostate you minimize the volume of the rectum that will ...