Would you recommend XRT treatment fields of a locally recurrent prostate cancer s/p RP similar to salvage vs intact prostate treatment?
Assume patient had high volume of disease removed. Prostatectomy was in the very distant past.
Answer from: Radiation Oncologist at Academic Institution
I will generally approach the treatment fields similarly to any other post-prostatectomy recurrence. Unless the anatomy is unfavorable, I will try to treat the full CTV per guidelines (the Francophone guidelines were published in 2021 and provide updated guidance). The toxicity rates to treating the...