Cystoprostatectomy with Recurrence

I have a patient who underwent cystoprostatectomy for high grade urothelial ca throughout the bladder and concurrent high risk prostate cancer Gleason was 10, PSA was 10ng/ml and he had positive margin and ECE in 2022. Initial PSA undetectable but 1 year later it was 0.2 and now 0.6. PSMA PET shows gross recurrence in the bed (1.5cm metabolic nodule) and a positive R ext iliac node. He has bowel hanging down and sitting just above the pet positive lesion (about 1cm of space). The ileal... Read more
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Radiation Oncology Source Type: forums