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hdr boost + sbrt + prophylactic lymph node irradiation

Prostate Cancer | Last Active: Aug 27 12:44pm | Replies (8)

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Profile picture for copyman @copyman

Not sure but reason they may not always do the nodes if something shows up later in a node you might not be able to zap then again since radiated already? That might leave surgery to remove node the only option at that point?

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Replies to "Not sure but reason they may not always do the nodes if something shows up later..."

@copyman very good point with different perspective.

@copyman Yes, that is a distinct possibility; they could then use SBRT to zap the affected node(s).
However, many times in primary treatment using IMRT, they will radiate the nodes as well, especially with a higher Gleason score or other adverse patho features which might indicate ‘local’ spread.
It seems that we are reading more these days about being able to RE radiate after treatment., doesn’t it? The ‘lifetime dose’ has become much more flexible?🤔
Phil