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Radiation Oncology • Genitourinary Cancers
How would you treat a seminoma recurrence to para-aortic LN one year after a transscrotal surgery?
Would you consider scrotum contaminated and consider including it in fields?
Answer from: Radiation Oncologist at Community Practice
Theoretically one may need to change the volume to include the inguinal and bilateral pelvic nodes but am not aware of any outcome data which supports that.
I would favor ipsilateral pelvis and paraaortic region with boost to node and not include scrotum and avoid exposure of contralateral testis t...
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Answer from: Radiation Oncologist at Community Practice
I do 2500 to the ipsilateral pelvis and paraaortic nodes with a 1000 boost to the node. Wish I had data to back up that answer but that has been my answer. Less toxic than chemo if I stop at T 11-12 rather than threaten the heart toxicity