Met Colon Cancer to Lymph nodes/cyberknife/treatment options

My husband, age 50 was dx Stage III colon cancer exactly one year ago and had his colon resected. Prior to the surgery there was a small mass in the celiac plexus region (lymph node). This was adjacent but not invading the pancreas. After 6 months of FOLFOX with Avastin this shrunk only to return on the two month break. Current CT shows gastrohepatic, celiac and left paraaortic adenopathy and some tiny right lower quadrant anterior abdominal wall peritoneal nodules. (1) what treatments are available besides standard chemotherapy (targeted, CAM, vaccines etc) (2) Is Cyberknife an option on these nodes (3) Is conventional surgery ever done in this area?

[docboston]

Your husband most likely had stage IV and not stage III cancer even at the time of diagnosis. The enlarged celica nodes represent metastasis. It is very common for metastatsis to shrink with chemo and then start growing again.
-cyberknife is not an option. it is used in very special circumstances like a single area of metastasis in the brain. I have never seen anyone use cyberknife for colon metastasis in the abdomen.
-He has already received Folfox. Next step would be something containing irinotecaan, like FoLFIRI. Avastin may be continued. Unfortunately the disese (disease) is not curable but hopefully will be controlled for some time.

[james398]

The   Cyberknife  is another capable SRS system for treat-
ing brain lesions, but its design has expanded SRS for
lesions anywhere in the body, including structures that
move with respiration.

[james398]

Essentially,   Cyberknife  is a linear accelerator mounted on a robotic platform that can move independently in all directions in 3D space to direct a tightly collimated x-ray beam at diseased tissue.  By coupling this capability with real-time imaging and computer control that can compensate for slight patient movements many times per second, such as due to breathing, twitching, or coughing, the Cyberknife platform can safely direct radiation to tumor locations in the body where even a very skilled surgeon would likely never go such as near major blood vessels, nerves or other vital organs.



Those interested in reviewing the detailed agendas and attending this year's CyberKnife Society Scientific Meeting should visit http://www.sfrollc.com