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© 2020 Wiley Periodicals, Inc.OBJECTIVE To examine the anatomical distribution of prostate cancer (PCa) recurrence on 68 Ga-PSMA PET/CT in patients with biochemical recurrence (BCR) after radical prostatectomy (RP) with pathologically lymph node metastasis (pN1) in their extended pelvic lymph node dissection (ePLND). Furthermore, to compare the location of PCa recurrence with the location of the initial lymph node metastasis at ePLND. MATERIALS AND METHODS We retrospectively included 100 patients with BCR (PSA 0.05 - 5.00 ng/ml) after R