Would you consider treating a patient with prostate cancer and biopsy-proven involved inguinal nodes with radiation to the prostate/pelvis/groin?
If the patient has PSMA-positive pelvic nodes and biopsy-proven inguinal nodes, would you use RT in addition to ADT? Or would you recommend ADT only? Would the fact that the patient has a history of urinary retention sway your decision at all?
Answer from: Radiation Oncologist at Community Practice
Would favor starting with ADT plus ASRI and base subsequent treatment in 3 to 6 months based on responses ranging from prostate-only RT (like STAMPEDE for nonregional node) or definitive RT to primary and node.