Patient Forum

The CyberKnife Patient Forum is designed to provide a place for people who have been diagnosed with cancer, their family and friends, to exchange useful information and provide support to one another. The Forum may also help people find answers to questions they have about the CyberKnife treatment experience. Accuray strives to facilitate these exchanges and encourage discussions. Recently we have experienced some aggressive or inappropriate spam postings. We are diligently working to resolve this issue and thank you in advance for your patience.

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Treatment for 1 spine and 1 rib met from Breast cancer
Posted: Wednesday, April 27, 2011 2:10 PM
Joined: 4/27/2011
Posts: 1

I was diagnosed with bone mets about 18 months ago (7.5 years after primary diagnosis). My only mets showing on scans so far are at T6 and on the fifth rib near the spine. After reading some interesting papers on oligometastases, I recently asked about having local treatment in addition to systemic treatment, and was recommended standard radiotherapy, although my radiation oncologist admits that this cannot remove all the cancerous cells from those 2 sites as they cannot treat at a high enough dose without risking damage to the spinal cord. I asked about Cyberknife but the doctors said this was so precise that it could miss cells in the tissue around the main sites so they would recommend conventional radiotherapy. I've also read that conventional radiotherapy is likely to only work for a while and that while I may be able to have Cyberknife in the future, it won't be able to be used as effectively as the aread will already have been irradiated. I'm unsure whether to accept the conventional radiotherapy (which seems better than just waiting for my mets to progress) or to try and find a way of getting Cyberknife treatment (it's not generally accessible in my country yet so would be pretty expensive). Can you offer any general advice?
Posted: Wednesday, April 27, 2011 2:24 PM
Joined: 10/10/2008
Posts: 4435

Standard radiation may or may not control the disease in the two sites. Since CK is not easily available to you, I would get the standard radiation and see what happens.


Clinton A. Medbery, III, M.D.
St. Anthony Hospital Cyberknife Center
(405) 272-7311

Mail to:
Clinton A. Medbery, III, M.D.
Southwest Radiation Oncology
1011 N. Dewey Ave. #101
Oklahoma City, OK 73102



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