Because of the current size and location of my tumour, he would recommend Stereotactic Radiation. This is very high dose radiation that uses several beams to precisely target the growth. It would be given over five consecutive days, and would happen during one of my "breaks" with the Keytruda/Padcev treatments.
The next step is to present my case to his associates on Tuesday next week, and discuss whether they should proceed or not. Some factors:
Regardless of what the decision is, we need current imaging. The PET was in May, so things have changed since then.
That imaging will determine how well the systemic therapy is working. If the tumour is shrinking, or is gone, why do anything.
The imaging will also determine just how close the growth is to the bowel. If it's too close, it's dangerous to do.
Net-net, he's calling me with the decision of the radiation people.
Feels like the Star Chamber.
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