Has anyone had spot radiation for a few nodes in the pelvic area?

MDT;
1) multidisciplinary team
2) metastatic directed therapy
https://dailynews.ascopubs.org/do/understanding-disruptive-potential-mdt-metastatic-prostate-cancer-treatment-exploring
(Scholz Over the Horizon concept)

I just finished with 5 SBRT treatments yesterday for lymph node in my left pelvic sidewall. I experienced no complications at all. They used a linear accelerator for the treatments. I had no ADT before hand so we will know if it worked by lowering my PSA. Will find out in three months.

@harvey44 I have been doing it your way as well. Appears more people are taking this approach.

@dlachn I hear more and more about this approach - no ADT and only spot SBRT radiation for spots visible on scans.
My question is always the same: what about the spots you can’t see? Is it whack-a-mole forever?? Would really love to see more research in this area but that would be difficult.
Probably a ‘retrospective study’ type of thing coming out in a few years.

I have received 69 radiation treatments over the years imrt and sbrt. No issues that I'm aware of. I have been on and off of adt but have refused it since 2020 . I feel it's just killing us a different way.

Suggest you Google Dr Sean P Collins on this subject

Sean P. Collins, MD, PhD, discusses stereotactic body radiation therapy and androgen deprivation therapy in nodal oligorecurrent PCa.
He treated me at Georgetown Medstar. In a nutshell its an approach that not only zaps lymph nodes visible as cancerous on PSMA but also nearby ones on the theory they too maybe cancerous w micrometasis not yet visible by PSMA
SEE him Grand Rounds of Urology September 2024

@icorps we did this in June attempting to anticipate the direction the cells were moving through my chest area because of how difficult future treatment could be in the heart and lung area.