Anyone have Aliya (PEF) treatment for lung cancer? How did it go?
I am scheduled to have the Aliya PEF (pulsed electricc field) image guided ablation on 4/23/26. It has just been approved for non small cell adenocarcinoma of the lungs. I am having it done in conjuction with a biopsy of lung nodules that have doubled in size in 4 months per CT sccan, and light up as probably cancerous from PET scan. I have been dealing with the lung cancer since January 2023 and pancreatic cancer since December 2024. I had the Whipple for the pancreas in December 2025. None of my cancers have been metastases. The biopsy won't have results for at least 7 days, but rather than putting me under twice, they ar going to do the Aliya at the same time. I am 78 years old. I have faith in my doctors, but since this such a new treatment, was wondering if anyone has had the Aliya, how successful it was, and were there any side effects.
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@kakalena thank you. I'm now sitting at the hospital waiting to be called for the procedure. Will let you know results when I get them.
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1 ReactionThe nodule was suspicious for malignancy so it was ablated. Full pathology next week. The procedure went well.
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2 Reactions@ladylennie
Excellent. Glad to hear it went well.
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1 Reaction@kakalena
I am curious as to what hospital in the San Francisco area did your PEF (Aliya) ablation. I am dealing with a second round of lung cancer and due to having the unpleasant side effect of a chronic broken rib from SBRT radiation the first round, I think the PEF ablation will be best for me. Part of my care team agrees (except the radiation oncologist, LOL!) I've refused radiation so far as I just can't fathom how I would deal with more lifelong radiation side effects. I have a lot of chronic pain from the broken rib and it's really limited lots of things I can do.
Thanks for sharing your experience with this new treatment. I'm so happy to hear of its success for you!
BPB
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1 Reaction@bpb
CPMC , California Pacific Medical Center. Dr. Heba Ismael. It was her first one but there were several other physicians present including one surgeon from UCFS ? who has done over 60. Dr. Ismael said she is doing 2 Aliyas a month now. I also had SBRT radiation for my pancreatic cancer at CPMC, Dr. Patricia Said. That worked very well for what was considered an inoperable tumor, but as a result of SBRT, I was able to have the Whipple surgery on pancreas.
The thing I liked about possible effects of Aliya is that the death of the treated nodule sends something out in your system that boosts your white blood cells' ability to fight same cancer in other locations. Here's hoping.
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2 Reactions@kakalena
Thanks for letting me know. I didn't realize that Sutter had a big hospital in SF. It is good to know that could be an option. I have an appointment with the interventional pulmonologist in early August (I've been waiting nearly a year to have this procedure) and if he has any reason to put it off, I'll check out Dr. Ismael. I had been thinking I might need to go to southern CA or Langone at NYU to get this done.
I'm guessing the reluctance to do it at my usual place of care may have to do with insurance or if PEF is now included in the Standard of
Care guidelines put out by the NCCN.
I am so appreciating your sharing because not a lot of people even know about this option and it is a struggle now with all the waiting.
Blessings!
BPB
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1 ReactionI had the aliya on june 29. It confirmed adenocarcinoma in my lower left lung. The oncologist and I think it possibly (probably) is a new primary but wont know until the molecular analysis is back in about a week.
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2 Reactions@ladylennie I'm glad you were able to have the Aliya procedure - sorry to hear it was cancer. glad you were able to have it treated quickly with a less invasive procedure. please keep us posted when you get your results back. how are you feeling?
Feeling good. I had no aftereffects from the procedure except my mormal post anethesia nausea for an hour. The hardest part now is determining if this was new or a recurrance. And also knowing that either way, it appears that all my iraes from keytruda weren't worth it since it clearly didn't work.
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2 Reactions@ladylennie
Great news. I had biopsy the same time as my Aliya but cells in nodules were not definitley cancer, but suspicious and atypical. Let us know the results when you get checked a few months down the road. I had Nivolumab and Ipilimumab beginning in February 2023. Discontinued the Ipilimumab in July of 2025 due to adverse side effects but had good results until then. At least it had been keeping cancer in check. Thank you for sharing.
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2 Reactions