Bone met scenario

Here's a scenario I need help with: 70ish yo M with castrate-resistant stage IV prostate cancer. PSMA PET showed a mid femur met along with other small bone lesions, the patient was asymptomatic. I radiated the mid femur met 30 Gy in 10 fractions hoping to prevent a fracture (based on the data presented at ASTRO). PSA goes down (patient is on xtandi btw). Med onc orders restaging bone scan and he still has uptake in the right mid femur (very bright, same spot I radiated), no other uptake... Read more
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Radiation Oncology Source Type: forums