Rationale for timing of adjuvant RT after surgery: breast and prostate

I'm seeing someone, Gleason 4+5=9, pre-tx PSA 8, pT3bN1, 9 months after radical prostatectomy whose post-op PSMA PET showed residual uptake in the pelvic nodes, no distant disease. He was started on ADT + zytiga and due to multiple issues (continence, logistical hurdles, etc) I'm only seeing him now. PSA is now undetectable. So I understand that in breast and prostate, we typically have thresholds (which may vary between provider) for when we would consider adjuvant radiation. For breast, I... Read more
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Radiation Oncology Source Type: forums