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paraganglioma with several spine lytic lesions
Farru21
Posted: Wednesday, January 09, 2013 11:19 PM
Joined: 1/9/2013
Posts: 2


Helllo, My brother 40Y Male has Spine mets resulting from an adreal gland paraganglioma tumor that required entire left kidney removal with adrenal gland about an year ago. He is currently undergoing MIBG treatment for the mets which so far does not appear to be controlling the spine mets growth. A recent MRI indicated L1 is near collapse, a compression fracture of superior end plate of D7 and L4,L2, D11, D10, D8, C7 and C8 are also showing lytic lesions. Rather than using conventional radiation and having risk of Spinal column damage and surrounding tissue, would CyberKnife be an option in his case? Thanks. Frank
radsrus
Posted: Thursday, January 10, 2013 3:45 AM
Joined: 10/10/2008
Posts: 4435


L1 could be helped structurally with vertebroplasty or kyphoplasty. I am not convinced there is much difference between the two. Because of the number of levels involved, standard radiation would be a better first choice, then radiosurgery could be used later if needed for a more limited set of 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

 


Farru21
Posted: Thursday, January 10, 2013 8:38 PM
Joined: 1/9/2013
Posts: 2


Thank you Buddy so much for prompt response. You are truly an amazing person who takes the time to help others in need. If we were to get standard radiation to the spine, how long would would one wait to determine if further followup with CyberKnife is needed? Also does CyberKnife remain just as effective on a perviously radiated area using standard radiation? Frank
radsrus
Posted: Friday, January 11, 2013 3:51 AM
Joined: 10/10/2008
Posts: 4435


Ck is just as effective when used on previoiusly radiated areas, but just requires extracare in planning. You will not be aable very easily to determine the need for CK based on scans etc. It is usually determined by symptoms.

 

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

 


 

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