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pascool2444
Posted: Sunday, December 29, 2013 8:29 PM
Joined: 12/29/2013
Posts: 2


My sister has just found out the following just before Christmas 2013, she is 62 and seems very healthy except for severe pain under left arm which is in the rib off the T7, and small pain in front chest probably the lymph node. She is reluctant to try chemo and radiotherapy as our mother died from cancer 30yrs ago, she is trying the cancer diet, as seen on much of internet and prescribed by Naturopaths. CAN YOU ADVISE THE BEST OPTION PLEASE? Results NM PET - Scan {90020) Preliminary Clinical History: [Evaluation of solitary pulmonary nodule. Patient reports adenocarcinoma right lung diagnosed by biopsy. *** Preliminary Report. NOTE: The contents of this report may significantly change once finalised *** PET STUDY Imaging was acquired from the skull vertex to the mid-thighs with the patients arms abducted. A low dose CT was performed for attenuation correction and anatomical localization purposes. At the time of FOG administration the BSL was 5.4 mmoi/L. Report: The 33mm mass in the apical segment of the right lower lobe is intensely hypermetabolic, in keeping with malignancy. No other hypermetabolic pulmonary lesions are identified. Background emphysematous changes noted. There are intensely hypermetabolic lymph nodes demonstrated at the right hilum and in the subcarinal region. In addition, more moderate-grade increased FOG uptake is present within paratracheal and left hilar lymph nodes. Within the left transverse process of the T? vertebra there is an intensely FOG avid lesion associated with destruction of the anterior cortex of the transverse process. No other focal hypermetabolic skeletal lesion is demonstrated. FOG uptake below the diaphragm appears physiological. Motion artefact and associated misregistration of the anatomical and functional imaging of the head limits assessment of the intracranial contents. Comment Findings are consistent with of a hypermetabolic malignancy in the apical segment of the right lower lobe with hilar and mediastinal nodal metastases, as well as a metastasis within the left transverse process of T7.
jim
radsrus
Posted: Tuesday, December 31, 2013 1:58 AM
Joined: 10/10/2008
Posts: 4435


This is best treated with chemotherapy and 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

 


pascool2444
Posted: Monday, January 06, 2014 12:20 AM
Joined: 12/29/2013
Posts: 2


Thank you Dr but she has been already offered chemo and radiation by her Oncologist but has refused it, as our mother died with cancer and she worked in a nursing home with cancer patients. All died awful lives after chemo treatment. We have just read a book of Ash Mckinnon and the loss of his wife Leah called Dying to get to Oaklahoma where the cyberknife had been used and how fantastic its sounds alas she died of liver failure probably due to her early treatments. We are in Australia where there is no other treatments, my sisters lung cancer has been picked up late, is there any other treatment that would help her, Jim

jim
radsrus
Posted: Monday, January 06, 2014 2:37 AM
Joined: 10/10/2008
Posts: 4435


I treated Leah and am of course very familiar with her case. CK just would not be useful in your sister's case. WE could treat a few things, but it would not make any difference in the course of the disease. Even if you controlled everything you know about now, there would be much more very soon. Standard radiation could be used for controlling symptoms but would probably cause some temporary swallowing difficulties

 

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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