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Resection of Metastatic Cancer in Castration-Resistant Patients

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Prostate Cancer

Abstract

The scenario discussed in this chapter involves the management of castration-resistant prostate cancer (CRPC) in the setting of prior prostatectomy with lymphadenectomy with likely disease recurrence in a pelvic lymph node. Treating this patient is both nuanced and complicated given the rapidly evolving management of advanced prostate cancer and paucity of data guiding salvage lymphadenectomy in the setting of CRPC. Options for treatment include multiple modalities, including systemic therapies (such as chemo- or hormonal therapy) that have proven efficacy in the metastatic CPRC setting, and localized treatment such as radiation or surgery. This chapter aims to outline the issues and reasoning behind various treatment options for patients with CRPC and local disease recurrence and specifically updates evidence related to salvage lymphadenectomy in this setting.

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Gregg, J.R., Reichard, C., Davis, J. (2018). Resection of Metastatic Cancer in Castration-Resistant Patients. In: Chang, S., Cookson, M. (eds) Prostate Cancer. Springer, Cham. https://doi.org/10.1007/978-3-319-78646-9_13

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  • DOI: https://doi.org/10.1007/978-3-319-78646-9_13

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-78645-2

  • Online ISBN: 978-3-319-78646-9

  • eBook Packages: MedicineMedicine (R0)

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