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Radiation Oncology • Genitourinary Cancers
What adjuvant therapy (chemotherapy, radiation) do you recommend for incidentally found focus of small cell prostate cancer at time of radical prostatectomy?
Would a minor adverse pathologic features such as capsular penetration (not SV or positive margins) influence the decision for radiation treatment?
Would you target pelvic nodes?
Answer from: Radiation Oncologist at Community Practice
This is an interesting question. Extrapolating from the relatively recent data on surgery for early SCLC, the local therapy for an incidental focus of small cell histology has been completed after RP. If there is tumor that penetrated through the capsule, I'd look at the amount of tumor that broke t...
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