In-room imaging and MR planning

Since imaging is no help, use common sense

Pro loco-regional recurrence

Pro distant relapse

R0

•

PSA increase > 1 year after RP

•

Stage ≤ pT3a pN0

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Gleason ≤ 7

•

PSA DT

•

Advise Prof. De Meerleer (RT, UH Leuven): Initial Gleason score & PSA kinetics suggest loco-regional recurrence. Suggest salvage RT prostate bed + 6 months of ADT. Afterwards PSA follow up & PSMA PET CT if further PSA rise.

Local radiation oncologist orders MRI of dorsal spine.

EAU guidelines on prostate cancer

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