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Radiation Oncology • Genitourinary Cancers
How would you manage a locally advanced prostate cancer with positive pelvic nodes, incidentally found at the time of radical cystectomy for bladder cancer?
If you recommend adjuvant radiation, how would you treat this? Because of the cystectomy, there is no typical prostatic fossa.
Answer from: Radiation Oncologist at Academic Institution
A growing body of retrospective data suggests a benefit to the addition of pelvic radiation in addition to ADT in men with node-positive prostate cancer. The decision to treat, in this case, has to be balanced by the competing risks related to the bladder cancer. If the patient's prognosis from the ...
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