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
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
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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