Pelvic MRI is now incorporated into routine staging of both prostate and rectal cancers, meaning the number of synchronous primaries is soaring: this case report details good outcomes with a radiation to all approach delivering 1.8 Gy x 25 = 45 Gy to elective pelvic node with sequential 1.8 Gy x 4 (50.4 Gy total) to rectal tumor and another 1.8 Gy x 16 (79.2 Gy total) to prostate. | Iqbal, Cureus 2026

