Quality of Life and Decision Regret After Postoperative Radiation Therapy to the Prostatic Bed Region With or Without Elective Pelvic Nodal Radiation Therapy

Elective nodal radiotherapy in prostate cancer

“…70 By contrast, patients who received salvage whole pelvis radiotherapy regretted the decision more frequently than those who received prostate bed-only salvage radio therapy. 71 Whether salvage stereotactic ablative radio therapy to macroscopically involved nodes (visible on biological imaging, such as PSMA PET-CT) will be as effective as salvage whole pelvis radiotherapy is a matter of debate. However, when using the salvage stereotactic ablative radiotherapy approach, there is a substantial risk of disease relapse adjacent to the treated node, making reirradiation nearly impossible.…”