Last month I had convulsions because of what turned out to be 5 medium and small brain mets. Treated them a month ago with Gamma knife and they show no more activity and incredible shrinkage, thank God. My Onc sent me for a control Pet scan just in case, as I am not on any medication yet (I am ALK+). The Pet scan came back with a 12mm high intake nodule in the spleen (6.2).
This seems to be extremely rare, as the rest of the body is completely clear, except for a 11mm subcutaneal nodule with low intake. My onc suggested starting on Xalkori, but I am against using it yet and am looking into Cyberknife treatment option or 3D radiation to the spleen. When I said this to him he seemed to agree. I do not want to waste time with a biopsy, I am pretty sure it is a met.
Question - can cyberknife be used for a case like this on the spleen? Is it as effective as Gamma Knife is for brain mets? So far, my mets have responded very well to radiation, and given that it is an only spot, I'd rather try this instead of starting Crizotinib. Is 3d.radiation to the spleen another option?
Any suggestions? Ideas?