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STL Cyberknife
Rick in IL
Posted: Thursday, October 18, 2018 6:23 AM
Joined: 10/18/2018
Posts: 11


I am 61, newly diagnosed and just starting with appts with Cyber, Uro and Med Onc physicians trying to decide on treatment or no treatment options. 4 of 20 cores positive, two 3+3 with <10% positive tissue and two 3+4 with 50%. Biopsy guided by MR and showed lesion contained in the gland. Does anyone in the forum have experience with STL Cyber? There are few of these in the Midwest and trying to discern if there are differences that should be considered even if the technology is the same. Thanks for any reply
Rick
JAV
Posted: Thursday, October 18, 2018 3:22 PM
Joined: 10/29/2010
Posts: 801


I would ask how many prostate cases they have done. And if they use SpaceOAR. Jim V.

Treated with CK 4-2011.  Gleason of 3+4 , PSA 3.7 , two cores positive, 5% & 12%
 PSA on 7-13 0.3  PSA on 11-13 0.3 PSA on 5-14   0.3  
PSA on 7-14   0.2 PSA on 11-14  0.2 PSA on 3-15 0.2
PSA on 7-15, 0.2 PSA on 7-17 0.1 PSA on 1-18 0.13
Joe in Fenton
Posted: Sunday, November 25, 2018 5:34 PM
Joined: 11/25/2018
Posts: 9


I'm very similar Rick. At STL Cyber, Morris and Bedwinek seem top notch, Kathleen and Mae are very very good. You may be able to do no treatment option as you're young too, but take time and look hard at the variables. I see SSM does at SLU Hospital too, and follow Jim's comments. Joe in Fenton
Rick in IL
Posted: Monday, December 03, 2018 1:50 PM
Joined: 10/18/2018
Posts: 11


Thank you both. I have met twice with Bedwinek and had two long calls with him. He seems very genuine and is not pushing treatment. However, I am six months post biopsy, and recent PSA has gone from 4.8 to 6.8. Previous high was 5.0. He is recommending Cyber for favorable intermediate with a defined lesion. Six months of AS has been pretty stressful, made more so by a PSA spike. I could have the biopsy tissue sent for Oncotype, but he is not encouraging it. He said a high Oncotype score could push me to a more aggressive treatment even if the lesion is contained. Wish it was an easy call.

Rick
Rick in IL
Posted: Monday, December 03, 2018 1:52 PM
Joined: 10/18/2018
Posts: 11


PS. STL Cyber started using Space OAR in all cases within the past year.

Rick
Joe in Fenton
Posted: Monday, January 07, 2019 8:24 PM
Joined: 11/25/2018
Posts: 9


...Or at least if you ask about Space Oar they'll recommend it. Anyway, I had it put in 12/5 with 4 fiducials; 12/12 got in for MRI/CT, then it took over a week to get a call to schedule treatments, but decided to start 1/4/19. Joe
Joe in Fenton
 

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