If RFA is possible, it can be done multiple times. The technical term for that is "whack-a-mole." I've had two thoracotomies--one on each lung, one VATS and 3 RFA. Never any radiation (just pelvic and plenty of that). I've also had two bronchospies to address a tumor in front of the opening to my left lung (my problem lung). My thoracic surgeon said that if it comes back again, we can treat it with targeted radiation, administered with a bronchoscope.
I'd be really hesitant to get SRBT done if I had any other choice. My onc explained to me early on that radiation tends to make tumors less responsive to chemo. So if it doesn't work, you're kind of out of options if it's not operable.
Dx: 3/09, Stage 4 RC
Recurrences: (ongoing, lung, bronchial cavity, ribs)
Major Ops: 6/ RFA: 3 /bronchoscopies: 8
Pelvic radiation: 5 wks. Bronchial radiation—brachytheray: 3 treatments
Chemo Rounds (career):136
Current Chemo Cocktail: Xeloda & Erbitux & Irinotecan biweekly
Current Cocktail; On the Wagon (mostly)
Bicycle miles post-dx 10,477
Motto: Live your life like it's going to be a long one, because it just might, and then you'll be glad you did.