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CyberKnife for mom
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CyberKnife for mom

Dear Doctor,
I am sending across details of my mother who is a patient of CA Breast. Now the doctors here in Delhi advise CyberKnife, I am confused.

My mother was detected CA Breast Lt  in may 2007
25x28mm at 6 position Left Breast,,,Tru cut showed 19/5/07
Infiltrating duct Ca NOS grade 2 with some lobular features
ER + 3/8
PR  negative
HER 2 neu 1(negative)
She was given  adjunctive chemotherapy Anthracycline based sessions
1.Lobodex/Endoxon  with pregalated G-CSF as growth factor supplement..may 2007
2.Lipodex/Endoxon  + pregalated G-CSF as growth factor supplement..    June 2007
3.Lipodex/Endoxon  + pregalated G-CSF as growth factor supplement......July  2007
4.Endoxon/epirubicin+pregalated G-CSF as growth factor supplement......Aug  2007
developed hand and foot syndrome after 4th cycle
5.Decetaxyl + pregalated G-CSF as growth factor supplement
6.Docetaxyl/Tubitiee..........showed 1/3rd reduction in tumour size........   sept 2007
7.Inj Tubitere 135 mg +  pregalated G-CSF as growth factor supplement   Oct 2007
8. Decetaxil 135 mg   + pregalated G-CSF as growth factor supplement   Nov 2007

Then MRM was done  on 16th Jan 2008and Chem was given again Avastin cycles
Histopath reports ;
Grade 2 invasive  with mixed
ER 6/8,PR 4/8 ductal & lobular features vascular emboli seen
HERS 2 Negative   Score 1-)
Nodal Met 7/11 pT2N2aMx
Nottingham Prognostic Index 5.6
She had Supraclav left Nodes detected on Pet Scan and Radiotherapy  given in Oct 2008
pet scan dec 19th 2007 report attached
Avastin cycles given
Then oral hormonal Altraz therapy done
Pet scan Dec 2009 showed  Int mammary LN 1st and 2nd space started Oral chemotherapy Zeloda
CT pet June 2010 shows persistent tiny residual non FDG avid LN are noted in the left Supraclavicular region.Compared to the previous
PET CT scan dated Dec 22 2009,there is no significant change noted.
A coalescent FDG avid (SUV max -14,3) soft tissue mass lesion noted in the left parasternal region  measuring 3.7 x 4.4 x 7.8 CM size
the mass is infiltrating 1st and 2nd Intercostal spaces.Compared to the previous PET CT Scan dated Dec 22 the mass lesion shows increase
in size and FDG uptake
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5 Comments
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962875_tn?1314213636
What is you question?
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Avatar_f_tn
is CyberKnife the best option for treatment for my mother?
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587083_tn?1327123862
Hi
CyberKnife - the world's first and only robotic-assisted radiosurgery - is a relatively new approach to radiation therapy. CyberKnife is a non-surgical treatment that uses 3-D imagery and pin-point accuracy to aim multiple radiation beams on a specific location inside the body in order to destroy a tumor. CyberKnife can treat tumors that cannot be treated by surgery or other radiation therapies, and those that cannot be treated without damaging surrounding tissue and structures. CyberKnife might be an option for patients who would like to avoid surgery.
CyberKnife is only done IF recommended by Oncologist and the team following your mom's case. Not every one is a candidate to have this procedure done...If her doctors have decided that this option is good for her particular case,then she could go ahead and have this procedure done.If you have any doubts,you can always seek a second opinion about this matter.
Best wishes to both of you.
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587083_tn?1327123862
By the way,in this Community Forum,there are no Doctor's responses.If you wish to have an expert respond to your queries,you can click on "Forums" at the top of this page.
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Avatar_f_tn
Cyberknife is not indicated for primary breast cancers.  A clinical trial has only just opened up for Partial Breast Radiation.  At current there is no data supporting it's use in breast carcinomas.
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