Cyberknife + PMSA = Prostatectomy + Node Biopsy

grattman · December 2023

I won’t consider Lupron, Why do it if post Cyberknife I get a PMSA PET scan to confirm intracapsular eradication and clean nodes. If the nodes are cancerous either way I will need systemic therapy. In addition, the PMSA agent that is specifically absorbed and lights up on a scan, also has a therapeutic analog. The therapeutic is the same agent with the affinity for prostate cancer but a therapeutic Radioisotope that is deadly with minimal travel outside the attachment to the cancer cell. I have worked in the nuclear medicine area, is there anyone posting on “Pluvicto”? Targeted prostate cancer specific absorption and destruction is creating quite a buzz.

Old Salt · December 2023

I doubt that you will find a doctor who will prescribe a PSMA scan soon after SBRT. As I explained in another thread you started, it takes a long time for the radiation damaged cells to actually die off.

With respect to Pluvicto, just type it in the search box and you will find some threads. However, Pluvicto is not appropriate for your case; way outside the FDA guideline.

FDA Approval Summary: Lutetium Lu 177 Vipivotide Tetraxetan for Patients with Metastatic Castration-Resistant Prostate Cancer | Clinical Cancer Research | American Association for Cancer Research (aacrjournals.org)

Cyberknife + PMSA = Prostatectomy + Node Biopsy

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