BMJ 2016 Mar 2

Second malignancies after radiotherapy for prostate cancer: systematic review and meta-analysis.

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When do you consider lymphadenectomy vs pelvic lymph node RT in a lymph node recurrence after prior prostatectomy or prostate-only RT?

I typically recommend a modified GETUG P07 (OLIGOPELVIS) treatment paradigm in this setting because I believe it has a favorable toxicity and short term treatment efficacy as well as the best evidence basis at this time. This regimen consists of a fractionated, extended pelvic nodal field with conco...

Is it ever acceptable for high risk prostate cancer patients to be treated with upfront radical prostatectomy?

1 Answers

Mednet Member

Radiation Oncology · David Geffen School of Medicine at UCLA

This is an excellent and timely question. There is definitely an increasing trend of patients with high-risk prostate cancer (PCa) receiving upfront radical prostatectomy (RP). Some of this is spurred by a recent, high-profile meta-analysis (https://www.ncbi.nlm.nih.gov/pubmed/26700655), which poole...