Is Cyberknife an option

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User

Posted 04 May 2022 at 00:30

Have just been diagnosed with TS3a with Gleason 9 and am examining options fir treatment

meeting surgeon and oncologist tomorrow for first consultation and wondered if anyone had any knowledge or experience with Cyberknife treatment?

thanks

User

Posted 04 May 2022 at 06:16

Best thing is you ask either the surgeon or the oncologist if it is an option - you could download the leaflet about it from UCLH and take it with you into the consultation.

User

Posted 04 May 2022 at 14:03

Only a consultant familiar with this form of treatment as well as having studied your case will be able to advise whether you are a suitable candidate. I think you are adopting the wrong approach here. If your hospital only does standard EBRT and surgery, I would get your full histology and copy of scans* with diagnosis when completed and get this to a hospital that offers a wider range of treatments. You should then get a definitive answer on what options are open to you. Nobody here, even the specialist nurses can say whether Cyberknife is an option for you.

*Some hospitals have the facility to 'call over' scans from another hospital so it does not become necessary for the patient to obtain a copy of the scan on a disc where this is the case..

Edited by member 04 May 2022 at 14:05 | Reason: spelling

Barry

User

Posted 05 May 2022 at 20:55

With your diagnosis, assuming it's N0M0, I would be asking about HDR Boost (half HDR Brachytherapy, half external beam radiotherapy), and including the pelvic lymph nodes in the external beam.

Cyberknife is a very precise targeted external beam treatment, but I think a broader treatment to include pelvic lymph nodes, seminal vesicles, and to spill outside the prostate to mop up any micro-mets (mets too small to show on scans) combined with the high dose achievable to the known cancer with brachytherapy to knock out the G9 would be my preferred option. HDR Boost is a way of getting a high dose to the cancer and knocking out micro-mets where it's next likely to spread to, but side effects tend not to be high.

Cyberknife (a form of SABR) can get high doses into the prostate, but I'm not sure as high as brachy, because it has to be mindful of the body tissue it has to go through to get to the prostate, which is not an issue for brachy.

Edited by member 05 May 2022 at 20:58 | Reason: Not specified

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