The role of elective pelvic radiotherapy in clinically node-negative prostate cancer: A systematic review
Dirix P, Joniau S, Van den Bergh L, Isebaert S, Oyen R, Deroose CM, Lerut E, Haustermans K. Radiother Oncol. 2013 Aug 27. pii: S0167-8140(13)00330-7. doi: 10.1016/j.radonc.2013.06.046. [Epub ahead of print]

Source

Department of Radiation Oncology, University Hospitals Leuven, Belgium; Department of Oncology, KU Leuven, Belgium. Electronic address: piet.dirix@uzleuven.be.

Abstract

The role of elective radiotherapy of the pelvic nodal regions in clinically node-negative prostate cancer patients remains highly controversial. This review will address the difficulty of non-invasive nodal staging, even with more advanced imaging techniques, and will show that surgical staging still finds a relatively high percentage of patients with intermediate- or high-risk prostate cancer that have microscopic tumor invasion in the pelvic nodes. Finally, an overview of the current literature on elective pelvic irradiation will be provided.