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Would you treat radio-graphically positive pelvic lymph nodes when palliating a patient with metastatic patient prostate cancer and obstructive symptoms?
The patient has a positive bone scan (2 lesions), grade 4+5=9/10 prostate, and cancer cannot urinate without a catheter.
Answer from: Radiation Oncologist at Academic Institution
In general, for palliative purposes, I focus my attention on the symptomatic location primarily, so in this scenario my treatment would be to the prostate +/- seminal vesicles (if involved) only. However, if my palliative target is adjacent to some nearby radiographically involved tissues...
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