RadOnc Smart Review

Welcome back to Rad Onc Smart Review: Genitourinary Oncology Edition.
In Episode 32, we conclude our distal GU module with a deep dive into Mock Oral Boards—focusing on Penile and Urethral Cancer, including node-positive presentations and organ-preservation strategies.
These rare malignancies are prime targets for board examinations because they require a disciplined, structured approach to staging, nodal logic, and complex radiation treatment sequencing. Rather than relying on memorized trivia, the examiner is testing your ability to synthesize clinical data and respect anatomical constraints.
In this episode, I will walk you through two primary case blocks presented in stages. I encourage you to pause after each question to formulate your own clinical response before listening to the model answer.

Welcome back to Rad Onc Smart Review, Genitourinary Oncology edition. In Episode 27, we tackle a mock oral exam focused on Renal Cell Carcinoma (RCC), covering clinical scenarios involving a solitary kidney, IVC involvement, and oligoprogression. In this session, I present two primary case blocks, each paired with a contrasting clinical twist. To get the most out of this episode, I encourage you to pause after each question to formulate your own management plan before listening to the model response. RCC management requires nuanced clinical judgment. We will explore the critical decision-making points—balancing the roles of surgery and radiation—and discuss how local therapy can effectively complement systemic regimens without overextending beyond the current evidence base.

Welcome back to Rad Onc Smart Review, Genitourinary Oncology edition. This is Episode 23: Testicular Mock Oral - Stage I, Stage IIA, and NSGCT Variants. Today we cap our testicular block with a full mock oral boards session. I will present three case blocks. Each block includes a main case and a contrasting twist that forces a different management decision. Pause after each question to formulate your own structured response before I give the model answer and the teaching pearl. One framing note before we begin. Testicular germ cell tumor is one of the clearest toxicity-minimization diseases in radiation oncology. In stage I disease, the disease-specific survival is so high that the question is often not “Can you cure him?” It is “Can you cure him without over-treating him?”

Welcome back to Rad Onc Smart Review, Genitourinary Oncology edition. This is Episode 18: Bladder Mock Oral - trimodality therapy, post-cystectomy radiation, and local recurrence. This is the capstone of the bladder block. The goal today is not just to know doses. The goal is to answer the way an examiner wants to hear it: first define candidacy, then frame the multidisciplinary options, then give a precise treatment plan, and finally show that you understand surveillance and salvage. In bladder cancer, selection comes before prescription.

Welcome back to Rad Onc Smart Review: Genitourinary Oncology Edition. In Episode 12, we’re putting your knowledge to the test with a Case-Based Review: Prostate Cancer Mock Oral Boards.In this episode, I walk through three distinct case blocks covering intact localized disease, post-prostatectomy salvage, and oligometastatic recurrence. Each block features a primary case followed by a contrasting clinical twist. To get the most out of this session, I recommend pausing after each question to formulate your own structured response before listening to the model answer and key teaching pearl. Let’s begin.

This is Episode 31: Penile and Urethral Planning Workshop. These are rare, high-stakes plans. The anatomy is mobile, the setup can be awkward, the evidence base is limited, and sloppy field design can have major consequences. This workstation episode covers simulation, bolus, immobilization, penile brachytherapy, inguinal and pelvic nodal contouring using the InPACT framework, and key principles of urethral cancer planning.

This is Episode 30: Penile Cancer Primary Management, Nodes, and Organ Preservation.Penile cancer is rare, but it is very fair game on boards because it tests whether you can keep anatomy, staging, nodal logic, and quality-of-life tradeoffs straight in a disease most residents will see only rarely.

Today we will build a practical framework for workup, staging, histology, and multimodality management. We will also cover where radiation fits, including selected use of brachytherapy for early-stage female disease and definitive chemoradiation for selected locally advanced squamous tumors.

This is Episode 28: Upper Tract Urothelial Carcinoma perioperative therapy, patterns of failure, and where radiation enters the conversation.UTUC is one of those diseases that residents do not see often, but oral examiners love it because it looks familiar and then punishes shortcut thinking. The histology overlaps with bladder urothelial carcinoma, but the risk stratification, the surgical planning, the perioperative systemic-therapy logic, and the radiation role are not the same.

This is the workstation episode. This is the planning episode. The big idea is simple: kidney SBRT is usually a motion-management problem and an organ-at-risk problem before it becomes a dose problem. Your bowel, your duodenum, your stomach, and the remaining uninvolved renal parenchyma often decide the regimen.