Is there evidence to justify the recommended anterior margin for post-prostatectomy radiation to the pubic bone?
Answer from: Radiation Oncologist at Academic Institution
In my opinion, the answer to this question is no. When one looks at sites of recurrence using more modern imaging, especially mpMRI, the most common sites of non-nodal recurrence are around the vesicourethral anastamosis and along the posterior bladder wall near the seminal vesicle remnant. Extendin...
Answer from: Radiation Oncologist at Academic Institution
Different cooperative groups have different recommendations for post-operative volume delineation based largely upon recurrence mapping, expert opinion, and the principle of the coverage of the surgical field/pre-operative tumor volume. The EORTC, for example, recommends a smaller volume of tissue i...
Comments
Radiation Oncologist at UC San Diego I agree re: probably could use smaller PTV anterio...
Radiation Oncologist at National Institutes of Health Clinical Center Definitely agree - the data characterizing that po...