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Cyber Knife and BCC on Lungs
Smartie
Posted: Friday, June 03, 2011 4:24 AM
Joined: 6/3/2011
Posts: 9


Could someone please advice?
My wife has multiple BCC metastatic lesions on lungs.
She has gone through chemo therapy and a certain medical trial without a lot of success. Would cyber knife be a way forward? I have read that radio therapy is very effective with BCC.
Please advice.


radsrus
Posted: Friday, June 03, 2011 6:17 AM
Joined: 10/10/2008
Posts: 4383


What do you mean by BCC?

 

Clinton A. Medbery, III, M.D.
St. Anthony Hospital Cyberknife Center
(405) 272-7311
buddy@swrads.org

Mail to:
Clinton A. Medbery, III, M.D.
Southwest Radiation Oncology
1011 N. Dewey Ave. #101
Oklahoma City, OK 73102

 


Smartie
Posted: Friday, June 03, 2011 7:56 AM
Joined: 6/3/2011
Posts: 9


I am sorry I have not been precise Basal-cell carcinoma.

radsrus
Posted: Friday, June 03, 2011 8:04 AM
Joined: 10/10/2008
Posts: 4383


Are you sure that the lung lesions are basal cell cancer? There have only been about 200 reported cases of metastatic basal call cancer reported. But yes, CK could be effective

 

Clinton A. Medbery, III, M.D.
St. Anthony Hospital Cyberknife Center
(405) 272-7311
buddy@swrads.org

Mail to:
Clinton A. Medbery, III, M.D.
Southwest Radiation Oncology
1011 N. Dewey Ave. #101
Oklahoma City, OK 73102

 


Smartie
Posted: Friday, June 03, 2011 8:05 AM
Joined: 6/3/2011
Posts: 9


She has been on a trial known as GDC - 0449 for 17 months  but as I said without a lot of success

Smartie
Posted: Friday, June 03, 2011 8:09 AM
Joined: 6/3/2011
Posts: 9


Yes that is what the diagnosis was confirmed more than once. She also has a number I assume about 40 to 50 lesions. Hou many tumors can CK deal with during one treatment? Thank you

radsrus
Posted: Friday, June 03, 2011 8:51 AM
Joined: 10/10/2008
Posts: 4383


Not nearly that many. But if there is a smaller number that are more problematic then they could be treated. With that many tumors, treatment is not going to be curative, but in properly selected cases can be of significant palliative benefit.

 

Clinton A. Medbery, III, M.D.
St. Anthony Hospital Cyberknife Center
(405) 272-7311
buddy@swrads.org

Mail to:
Clinton A. Medbery, III, M.D.
Southwest Radiation Oncology
1011 N. Dewey Ave. #101
Oklahoma City, OK 73102

 


Smartie
Posted: Tuesday, June 21, 2011 12:31 AM
Joined: 6/3/2011
Posts: 9


Sorry for being a pain, but what is a maximum number of basal cell cancer leisions in your opinion that could be treated using CK? As mentioned above the largest one is app. 10 mm.


radsrus
Posted: Tuesday, June 21, 2011 3:01 AM
Joined: 10/10/2008
Posts: 4383


We treat metastatic lung tumors under two conditions: if there are 4 or fewer and we think we have a chance of curing the patient, or if one or more are causing major symptoms, such as pain or airway obstruction. Treating a few out of 40-50 does not really make much sense outside of those two situations.

 

Clinton A. Medbery, III, M.D.
St. Anthony Hospital Cyberknife Center
(405) 272-7311
buddy@swrads.org

Mail to:
Clinton A. Medbery, III, M.D.
Southwest Radiation Oncology
1011 N. Dewey Ave. #101
Oklahoma City, OK 73102

 


Smartie
Posted: Tuesday, June 28, 2011 3:59 AM
Joined: 6/3/2011
Posts: 9


Sorry for being a pain, but if  some could be treated at home (say 4), could some of them be treated abroad (India, Turkey or anywhere in Europe) whilst fighting the others with PDT or similar method?
Once more sorry but I am desparate.
Many thanks


radsrus
Posted: Tuesday, June 28, 2011 12:16 PM
Joined: 10/10/2008
Posts: 4383


The limit of 4 is not based on some legal prohibition unique to the USA. It is a common sense approach. There is data that if there are more tumors than 4 we just aren't going to do well. Furthermore, there is a dose to the lungs that must be respected. That is not usually a problem, but can be when you start treating large numbers of tumors. Finally, there are practical limits because of the time required. I am not sure how you would go about using photodynamic therapy in the lungs. IN the airways, yes, but not in the lungs

 

Clinton A. Medbery, III, M.D.
St. Anthony Hospital Cyberknife Center
(405) 272-7311
buddy@swrads.org

Mail to:
Clinton A. Medbery, III, M.D.
Southwest Radiation Oncology
1011 N. Dewey Ave. #101
Oklahoma City, OK 73102

 


stormyb
Posted: Monday, July 11, 2011 11:52 AM
Joined: 6/9/2011
Posts: 14


My husband is having a hard time clearing his throat. He is still real horsed he is also having hard chest pain's at time's. Is there anything you suggest that we can talk to the doctor about?
radsrus
Posted: Tuesday, July 12, 2011 5:45 AM
Joined: 10/10/2008
Posts: 4383


Just those things. I don't know what is causing the symptoms, but his doctors need to know about them.

 

Clinton A. Medbery, III, M.D.
St. Anthony Hospital Cyberknife Center
(405) 272-7311
buddy@swrads.org

Mail to:
Clinton A. Medbery, III, M.D.
Southwest Radiation Oncology
1011 N. Dewey Ave. #101
Oklahoma City, OK 73102

 


Smartie
Posted: Friday, August 05, 2011 12:39 AM
Joined: 6/3/2011
Posts: 9


Could you please tell me if there is a time gap that should be respected between the CK treatments or could this type of treatment be repeated in 12 months time, say.
Thanks and regards

radsrus
Posted: Friday, August 05, 2011 4:38 AM
Joined: 10/10/2008
Posts: 4383


Repeated on the same tumor?

 

Clinton A. Medbery, III, M.D.
St. Anthony Hospital Cyberknife Center
(405) 272-7311
buddy@swrads.org

Mail to:
Clinton A. Medbery, III, M.D.
Southwest Radiation Oncology
1011 N. Dewey Ave. #101
Oklahoma City, OK 73102

 


Smartie
Posted: Friday, August 05, 2011 6:20 AM
Joined: 6/3/2011
Posts: 9


Yes, is that possible at all?

radsrus
Posted: Friday, August 05, 2011 6:22 AM
Joined: 10/10/2008
Posts: 4383


Yes, but you would want to be sure it was necessary

 

Clinton A. Medbery, III, M.D.
St. Anthony Hospital Cyberknife Center
(405) 272-7311
buddy@swrads.org

Mail to:
Clinton A. Medbery, III, M.D.
Southwest Radiation Oncology
1011 N. Dewey Ave. #101
Oklahoma City, OK 73102

 


pat 51
Posted: Tuesday, August 23, 2011 4:40 AM
Joined: 7/21/2011
Posts: 4


j
JUST  wanted  to thank  DR MEDBERY  for  all his  help  advice  and  encouragement thru past months   finallly  was  able  to get  cyberknife  treatment in ONTARIO  CANADA  and  am now  awaiting  results .without  you  constant  encouragement  and responses to  question  etc  i would  have  left my stage one bilateral  lung tumors  alone  and  not  sought  treatment , NO  matter  what  the outcome is  DR MEDBERY  at least  i have  you  to thank  for  at least  giving  me hope and  encouragement

radsrus
Posted: Tuesday, August 23, 2011 7:10 AM
Joined: 10/10/2008
Posts: 4383


Let us know how things turn out.

 

Clinton A. Medbery, III, M.D.
St. Anthony Hospital Cyberknife Center
(405) 272-7311
buddy@swrads.org

Mail to:
Clinton A. Medbery, III, M.D.
Southwest Radiation Oncology
1011 N. Dewey Ave. #101
Oklahoma City, OK 73102

 


Smartie
Posted: Friday, October 14, 2011 5:06 AM
Joined: 6/3/2011
Posts: 9


My wife and I have been to see someone who could perform laser treatment on most of the leisions on her lungs. He is only reluctant to do so as there are about 5 closely attached to lung blood vesels. Could you please advice whether the CK could be applied to treate these leisions attached to blood vesels and than laser to treat the remaining 30?
Thanks in advance

radsrus
Posted: Friday, October 14, 2011 7:46 AM
Joined: 10/10/2008
Posts: 4383


I just don't think it makes sense to treat 30 or more tumors in the lungs. How is he going to use a laser? It requires getting directly to the tumor, since a laser can't pass through normal tissue and treat a tumor that is deeper. Same thing for PDT.

 

Clinton A. Medbery, III, M.D.
St. Anthony Hospital Cyberknife Center
(405) 272-7311
buddy@swrads.org

Mail to:
Clinton A. Medbery, III, M.D.
Southwest Radiation Oncology
1011 N. Dewey Ave. #101
Oklahoma City, OK 73102

 


kmetzg
Posted: Friday, October 14, 2011 8:15 PM
Joined: 10/14/2011
Posts: 3


I have a 1.5 cm nodule in right lung, very close to windpipe, near top of lower lobe. It was found by ct scan (no contrast, because of allergy.) It is suspected this may be from kidney cancer (surgery 8 years ago). It did not glow on PET scan, but am told kidney cancer sometimes does not. It grew 2mm in last 4 months. It is highly recommended I have surgery to remove it; nobody has mentioned CK. What qualifies someone to be eligibile? I know my medical group has a facility with CK that is about 2 hours away. Please advise the best way to approach the surgeon or other hospital staff regarding this. Thank you.

kmetzg
radsrus
Posted: Friday, October 14, 2011 8:27 PM
Joined: 10/10/2008
Posts: 4383


That is big enough that it could be biopsied, and I would suggest getting a biopsy before proceeding

 

Clinton A. Medbery, III, M.D.
St. Anthony Hospital Cyberknife Center
(405) 272-7311
buddy@swrads.org

Mail to:
Clinton A. Medbery, III, M.D.
Southwest Radiation Oncology
1011 N. Dewey Ave. #101
Oklahoma City, OK 73102

 


kmetzg
Posted: Friday, October 14, 2011 8:48 PM
Joined: 10/14/2011
Posts: 3


I am told needle biopsy is not recommended, because of location, and risk of puncture. Also, my original kidney tumor (15 years ago) was biopsied, and seeded a tumor in my back muscle, which is the one I had removed 8 years ago, with a very large section of my muscle. So, I'm not a fan of needle biopsies anyway. Also, because the nodule is slowly growing, and because it is in a tight location, the surgeon recommends removing it even if benign, because if it gets too large he's concerned he will need to remove lower lobe to get it out. So, I know it needs to come out, and wonder if CK would be an option. Thank you.

kmetzg
kmetzg
Posted: Saturday, October 15, 2011 4:53 AM
Joined: 10/14/2011
Posts: 3


Would CK not be successful if the nodule turned out not to be malignant?

kmetzg
radsrus
Posted: Saturday, October 15, 2011 8:06 AM
Joined: 10/10/2008
Posts: 4383


Probably. It is hard to say without seeing the scans, but it would be very rare to be unable to treat a lung tumor that small

 

Clinton A. Medbery, III, M.D.
St. Anthony Hospital Cyberknife Center
(405) 272-7311
buddy@swrads.org

Mail to:
Clinton A. Medbery, III, M.D.
Southwest Radiation Oncology
1011 N. Dewey Ave. #101
Oklahoma City, OK 73102

 


radsrus
Posted: Saturday, October 15, 2011 8:08 AM
Joined: 10/10/2008
Posts: 4383


My response above referred to the previous question. As to control of a benign tumor, CK would probably be successful, judging from treatment of benign tumors in other places, but there is not a lot of data on treatment of benign lung tumors.

 

Clinton A. Medbery, III, M.D.
St. Anthony Hospital Cyberknife Center
(405) 272-7311
buddy@swrads.org

Mail to:
Clinton A. Medbery, III, M.D.
Southwest Radiation Oncology
1011 N. Dewey Ave. #101
Oklahoma City, OK 73102

 


julielbacon
Posted: Wednesday, November 13, 2013 5:53 AM
Joined: 11/13/2013
Posts: 1


Good Morning - I was hoping to make contact with the gentleman whose wife was diagnosed my metastatic basal cell (MBCC). My brother has MBCC, with less than 10 lung mets at this point. He is on Erivedge with the possibility it is starting to be less effective. We are now looking at Cyberknife to 'reset the clock' on the mets. As has been stated, there are very few cases out there. Anyone who has anything they might feel useful - I would very much appreciate it!

Julie - RN and Concerned Sister
 

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