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When do you offer salvage prostate bed RT to patients who have a biochemical recurrence >5 years after RP?
In the case of patients many years out from RP who have a slowly rising PSA, do you offer salvage RT while the PSA is still very low or follow the PSA to a certain value/velocity before pulling the trigger?
Answer from: Radiation Oncologist at Academic Institution
While retrospective data consistently suggest that biochemical outcomes (and possibly also distant metastases and prostate cancer specific mortality) are better when salvage radiation is delivered at lower PSA values, there is no absolute cut-point to trigger treatment. Many factors must b...
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