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Renal Cell Carcinoma - Metastatic to Sub-Cardinal Node
WLU
Posted: Wednesday, August 25, 2010 1:02 PM
Joined: 8/25/2010
Posts: 9


I am a 59 yr old female. Had left kidney removed on 06/11/2010. Pathology report noted clear cell type, fuhrman nuclear grade 2. On 09/30/09 a fine needle aspiration was done. Outcome - metastatic carcinoma, consistent with renal cell primary. Have been on Sutent for the past 6 months. No other areas have been seen on PET-CT scans. Would Cyber Knife work on getting rid of this one spot? And if so, what else could I expect? Thank you.
radsrus
Posted: Wednesday, August 25, 2010 1:06 PM
Joined: 10/10/2008
Posts: 4435


What was biopsied?

 

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

 


WLU
Posted: Wednesday, August 25, 2010 2:49 PM
Joined: 8/25/2010
Posts: 9



WLU
Posted: Wednesday, August 25, 2010 3:00 PM
Joined: 8/25/2010
Posts: 9


Sorry - "subcarinal lymph node" biopsy on 09/29/2009. On 04/10/10 PET CT scan- "this lymph node measures 2.1 x 1.4 cm on the current study and is unchanged. There are no additional hypermetabolic, hilar or axiliary lymph nodes. THere are no hypermetabolic pulmonary nodes." On 07/09/10 PET CT scan: "Slight increase in a previously described subcarinal hypermetabolic focus from a prior maximum 3.7 to 5.0 on the current study. No new hypermetanolic foci or regions demonstrated throughout the images of the thorax/chest. Mild interval worsening of a hypermetabolic focus in the subcarinal regionconsidered an equivocal finding which may represent a benigh inflammatory etiology versus malignancy." I hope this helps. Thank you for your assistance.
radsrus
Posted: Thursday, August 26, 2010 3:31 AM
Joined: 10/10/2008
Posts: 4435


Yes, that is treatable, but you will be likely to have some trouble swallowing for a while (a few weeks). It is probably a better option than surgery or standard radiation

 

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

 


Dr. J
Posted: Thursday, August 26, 2010 4:21 AM
Joined: 10/11/2008
Posts: 1070


Could go either way, standard XRT or Cyberknife.

 

Jerome J. Spunberg, M.D., FACR, FACRO
CyberKnife Center of Palm Beach
jspunberg@radiationoncologyinstitute.com
(561) 799-2828

 

Radiation Oncology Institute
10335 N. Military Trail, Suite C
Palm Beach Gardens, FL 33410
(561) 624-1717


WLU
Posted: Thursday, August 26, 2010 5:13 AM
Joined: 8/25/2010
Posts: 9


The infected lymph node is outside of my lung. Would I still have trouible swallowing?
WLU
Posted: Thursday, August 26, 2010 5:15 AM
Joined: 8/25/2010
Posts: 9


One other question please - is surgery a better option or staying on Sutent?
radsrus
Posted: Thursday, August 26, 2010 7:19 AM
Joined: 10/10/2008
Posts: 4435


I would do something more definitive than Sutent at this point. Surgery is an option. CK is much less invasive. The lung does not matter as far as swallowing - it is the proximity to the esophagus that is the problem.

 

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

 


WLU
Posted: Friday, August 27, 2010 1:12 PM
Joined: 8/25/2010
Posts: 9


Does anyone know of all "trails" in this area? My insurance company will not approve, I am unemployed, and this would cost my life savings. Thank you.
radsrus
Posted: Friday, August 27, 2010 8:14 PM
Joined: 10/10/2008
Posts: 4435


I don't know what you mean by "trails"

 

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

 


WLU
Posted: Monday, August 30, 2010 2:06 PM
Joined: 8/25/2010
Posts: 9


A clinical research trial.
radsrus
Posted: Tuesday, August 31, 2010 7:13 AM
Joined: 10/10/2008
Posts: 4435


Ahhhhh...trials. Sorry I did not recognize the typo. Go with standard radiation. Your insurance company is much more likely to approve CK if that should not work.

 

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

 


WLU
Posted: Sunday, September 05, 2010 11:16 AM
Joined: 8/25/2010
Posts: 9


What would standard radiation entail vs cyber knife? Procedure, surgery? Thank you.
radsrus
Posted: Sunday, September 05, 2010 12:13 PM
Joined: 10/10/2008
Posts: 4435


Standard radiation would be several weeks of daily treatment versus 3-5 days for CK. But with less risk to esophagus, less chance of controlling the tumor, and virtually no chance of being denied by insurance company.

 

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

 


WLU
Posted: Wednesday, September 08, 2010 12:28 PM
Joined: 8/25/2010
Posts: 9


Does renal cell carcinoma cells respond well to this type of radiation or is Sutent better?
radsrus
Posted: Wednesday, September 08, 2010 1:16 PM
Joined: 10/10/2008
Posts: 4435


It responds well to CK, so for a local problem CK is very useful. For more widespread disease Sutent would be a better choice. They are not exclusive. You can treat a particular problem with CK and use Sutent for other areas.

 

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

 


Linda K.
Posted: Wednesday, October 13, 2010 3:01 PM
Joined: 10/10/2008
Posts: 39


Dr. Medbery: I recently had a full CT body scan done on my own as I was not feeling well for some time. I know CT's show a lot that, at times, is nothing to worry about. It did show what they called a "decreased attentuation" cyst in the left kidney upper pole. The size is 2.1 x 1.9 x 2.1 cm. I also had an ultrasound done stating "no evidence of hydronephrosis". Is this something I should be concerned about or look into further or not be concerned? Thanks for your help.
radsrus
Posted: Friday, October 15, 2010 3:58 AM
Joined: 10/10/2008
Posts: 4435


Did the ultrasound see the cyst? If it did and it was a cyst, then there is probably nothing to worry about.

 

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

 


Linda K.
Posted: Friday, October 15, 2010 4:06 PM
Joined: 10/10/2008
Posts: 39


Yes, the ultrasound did see the cyst. I guess I was concerned about the size. Thank you.
arm
Posted: Sunday, July 24, 2011 9:29 AM
Joined: 7/24/2011
Posts: 2



 

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