Nodal Recurrence From Prostate Adenocarcinoma: Curable or Incurable?

A 60-year-old male has a medical history of prostate adenocarcinoma. He was treated in 2013 for an unfavorable intermediate-risk prostate cancer (Gleason score 4  + 3 = 7, prostate-specific antigen [PSA] 9.1, and T1c). Because of his unfavorable risk features, he underwent combined-modality treatment with external beam radiation therapy and prostate seed implantation. His PSA dropped to 0.20 (October 2015). His PSA trend is as follows: 0.88 (April 2016), 1.5 (March 2017), and 4.4 (January 2018). Multiparametric magnetic resonance imaging of the pelvis showed scattered multiple lymph nodes, measuring up to 5.0 mm in the internal iliac chain (bilaterally), suspected to be reactive.
Source: International Journal of Radiation Oncology * Biology * Physics - Category: Radiology Authors: Tags: Gray Zone Source Type: research