How do you manage prostatic adenocarcinoma after a subtotal resection?

Would you follow definitive or adjuvant/salvage treatment paradigms? Post-operative imaging reveals significant residual prostatic tissue and a stable dominant intraprostatic lesion. Do the pathologic details from the prostatectomy specimen change your management, for example pathologic T stage or a different Gleason score?

Answer from: Radiation Oncologist at Academic Institution

This is a complex question with many permutations, and a review of the operative note in addition to the surgical pathology can help to inform clinical decision-making. Direct discussion with the surgeon, when possible, is also important because presumably there is some reason this occurred, wh...

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Radiation Oncologist at West Virginia University
Theoretically, any patient who does not nadir foll...

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How do you manage prostatic adenocarcinoma after a subtotal resection?

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