How would you approach adjuvant therapy for a patient with a single lymph node positive in the peri-prostatic fat without pelvic lymph node dissection?

This same patient has Grade Group 5 disease with extraprostatic extension and a positive margin with pre-operative PSMA PET/CT negative for regional or distant metastatic disease.

Answer from: Radiation Oncologist at Community Practice

I would favor treating like node positive prostate cancer adjuvantly with long term ADT and RT. Presuming post op PSA is undetectable.

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How would you approach adjuvant therapy for a patient with a single lymph node positive in the peri-prostatic fat without pelvic lymph node dissection?

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