RP recurrence of urothelial carcinoma

67 yo woman COPD very poor lung fx (FEV 1 < 1.0) on 4L O2 at rest s/p nephroureterectomy 1 year ago for localized transitional cell carcinoma of the renal pelvis with recurrence in the left retroperitoneum on 6 month fu scan after surgery. Med onc thought it was a nodal recurrence (i feel more likely local recurrence) gave her chemo for a few months; the recurrence was about 1.5 cm in size, now its about 2.5, no other dz has developed. They referred for consideration of RT. Below is the... RP recurrence of urothelial carcinoma
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