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Radiation Oncology • Genitourinary Cancers
Would you consider irradiating the prostate and a positive node noted on PET/auxumin while omitting elective pelvic nodal coverage?
Is there data to suggest that omission of elective nodal coverage to the pelvis similar to the omission of elective lung nodal coverage in lung cancer could be of benefit?
Answer from: Radiation Oncologist at Academic Institution
I would not generally recommend that strategy, based on current evidence. POP-RT (Murthy et al., PMID 33497252) suggests better biochemical control with elective nodal irradiation in patients with PET-negative prostate cancer. EMPIRE-1 preliminary results presented at ASTRO 2020 also support treatme...
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