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Pancreas Cancer

Cyberknife/radiation consult? was posted 01/31/2008 11:13 pm by JR
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You need to have a consult with a radiation onc. who is experienced with cyberknife or other types of radiation for the pancreas. Reason being, we had heard great things about this as well, being so targeted, therefore being able to give more radiation without damaging nearby 'healthy' organs/tissue. This is great if the gross tumor volume is relatively small, this is not good if it's larger. My mother's tumor is also in the head/body, with portal vein and celiac artery involvement, her radiation onc. said with such a large field, we need to do 3D conformal radiation in small fractions over 6 weeks so we can hit the tumor with a bigger margin as well as the regional lymph nodes as they suspect the disease could be there since it traveled from the head to the celiac artery, there happens to be a lymph node there... You can't do that with cyberknife, there would be too much risk with giving so much radiation at one time, bleeding, toxicity, etc. What he said we can do, depending on how well she responds to radiation is to do a boost at the end, probably last 5 treatments with Cyberknife. The radiation fields get smaller as you go so by the end, your just targeting the visible tumor. Good luck,

JR

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