Sunday, September 28, 2025

Contouring for Genitourinary Cancer

Faculty

  • Hong Zhang, MD, PhD - Professor of Radiation Oncology, University of Rochester Medical Center,Wilmot Cancer Institute
  • Neil Taunk, MD, MS - Assistant Professor of Radiation Oncology and Radiology, University of Pennsylvania, Abramson Cancer Center

Review the case description and images below and participate in the poll on how you would contour this case.

Case Description

  • Patient: 65-year-old male
  • Initial Diagnosis:
    • PSA prior to surgery: 8.6 
    • Pathologic stage: pT3aN0cM0, Gleason grade group 4
    • surgical margins negative, extraprostatic extension at the bladder neck
  • Postoperative Course:
    • PSA nadir: 0.07 ng/mL
    • PSA progression: Increased to 0.7 ng/ml, doubling time 6 months
  • Restaging Studies:
    • PSMA PET: No evidence of PSMA-avid disease
    • Multiparametric MRI: No evidence of disease
  • Current Management:
    • Initiated on salvage radiation therapy with 6 months of ADT

Which of the displayed sagittal below contours appropriately represents the inferior border of the prostate bed CTV? Please click on the poll to let us know how you would contour this case.

 

Check back tomorrow when Dr. Zang and Dr. Taunk will weigh in on how they would contour.