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Would you offer salvage radiation in a patient s/p radical prostatectomy with imaging showing local recurrence as well as oligometastatic disease in the pelvis?  

Would you treat the entire pelvis vs local recurrence? How would you approach the oligometastatic lesion? Would your treatment recommendation change if the patient did not have radiographic evidence of local recurrence in the prostate bed? Assume the patient is initiating combined androgen suppression with GNRH-inhibitor and novel oral androgen-signaling inhibitor.



Answer from: Radiation Oncologist at Academic Institution
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Answer from: Radiation Oncologist at Academic Institution
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Radiation Oncologist at Community Health Network
PSMA scan is 98% specific on pelvic ln in prostate...
Radiation Oncologist at UC San Diego
PSMA PET—with a particular tracer, a given p...
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Answer from: Radiation Oncologist at Community Practice
Comments
Radiation Oncologist at Fort Belvoir Community Hospital
This is becoming an increasingly prevalent scenari...
Radiation Oncologist at UCSF Medical Center-Mission Bay
I don't think there's a clear answer. For those wi...
Radiation Oncologist at Yale
I agree overall with this paradigm but I struggle ...
Radiation Oncologist at Vanderbilt-Ingram Cancer Center
For N+ patients at either initial diagnosis or rec...
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Answer from: Radiation Oncologist at Academic Institution
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