Best Salvage Brachytherapy and SBRT locations

[hwrjr]

I'm trying to find top hospitals that have an experienced RO in salvage treatments for radio-recurrent PCa. I'm close to Duke Cancer Center and they have a RO there who does salvage Brachytherapy but he's only been practicing for 5 years so I doubt he has as much experience as I'd like. I think my RO's right when he said you want someone who has done a lot of these. SBRT is of interest to me also but I cant current studies with 5 year results. I live in NC but don't mind travelling anywhere in the US.

Thanks for your suggestions.

[Tall_Allen]

Donald Fuller in San Diego has been doing salvage SBRT since 2009, and I know that Amar Kishan at UCLA has been doing it for a long time too. Mitch Kamrava at Cedars-Sinai has been doing salvage HDR brachy for a while.

prostatecancer.news/2016/08...

[hwrjr in reply to Tall_Allen]

Thanks Allen. I think you had Dr King for your treatment at UCLA. Is he still practicing?

An older post from 2 years ago highly recommended Dr. Zelefsky at MSK for salvage Brachytherapy .

[Tall_Allen in reply to hwrjr]

I think Chris King is only working with the VA now.

[j-o-h-n in reply to hwrjr]

I'm fairly sure that Dr. Zelefsky is no longer at MSK.

Good Luck, Good Health and Good Humor.

j-o-h-n

[redonthehead]

I've bookmarked this - please gives us updates on your decisions and progress. While I do not have recurrence after my SBRT, I am trying to stay informed on the best path forward should it reoccur. Seems there are not well defined best practices for treatments of radio recurrent prostate cancer.

[hwrjr in reply to redonthehead]

None of them are good. About 50% curative for the ideal patient with more SE's than primary treatments. If one has a radio-recurrence that is local, the decision to treat or observe is a tough one.

[Piano777]

Check Dr Tim McClure at Weil Cornell Hospital in Manhattan. He specializes in MRI guided SBRT

[Mgtd]

You may want to reconsider your “only 5 year” thought process. You also need to add in his Residency and possibly his Fellowship time.

Might be worth a email to him to get his thoughts or perhaps a consult so you could get a face to face analysis.