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Kidney tumor(2)
tlonglc
Posted: Thursday, December 11, 2008 7:04 AM
Joined: 12/11/2008
Posts: 1


Patirnt just had a second CT on tumor discovered in September 2008. Had complaint of some side/back pain dating back to late 2007 early 2008. Contrast CTs shows growth from ~2.2 cm to ~ 2.5 cm during last 3 month period. Possible evidence dating back to previous CTs in 2006 or 2007. CT contrast views showed die cleared site fairly quickly. Urologist consult with Radiology concluded tumor is probable candidate for immediate surgery, possible wedge resection if no severe vascular involvement. Urologist indicated he did not think this tumor was a candidate for radiation therapy but might be a candidate for cryo treatment due to patient history. 52 year old male, obese, TY II diabetic non-insulin dependent,  on coumadin for DVT following C4 fracture and subsequent SCI in 1998, ambulatory with Brown-Sequard type hemipelegia,  baclofen trated for SCI related spasticity. Have a greenfield vena cava filter placed in 1998 following MVA that caused SCI.

What factors determine the elimination of the cyber knife treatment in this case requiring the invasive surgical treatment? Is the cryo treatment a tested solution in this case vs the resection surgery.


TL
radsrus
Posted: Thursday, December 11, 2008 9:13 AM
Joined: 10/10/2008
Posts: 4435


If cryotherapy can be done, then CK can be done less invasively, although it will require fiducial seed placement. There is not yet extremely good data on kidney treatment, but from our own experience CK is quite effective. We have not yet had a local failure. If the nearest center won't do it, then you may want to get the scans reviewed by another center.


 

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

 


suman
Posted: Saturday, October 09, 2010 11:26 PM
Joined: 10/9/2010
Posts: 1


Hi, i had a query, request someone to kindly reply My uncle got a kidney tumor (malignant), size of 11 cm in his left kidney. the size of his right kidney is small. Could anyone please guide which is the better option for him Surgery or cyberkinfe?

thanks Suman +91-9160003271
radsrus
Posted: Sunday, October 10, 2010 9:51 AM
Joined: 10/10/2008
Posts: 4435


For a tumor that size, surgery is a better option

 

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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