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Joined: 10/28/2008
Posts: 1
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This year, in spring, my uncle was diagnosed with glioblastom on the right temporal bone. Since then, he had two operations, one was done today. Momentarily the place where the tumor is is cleaned, but the disease is advancing very quikly. Initially, the size of tumor was 3.8/2.8 cm.
What I want to know is whether the tumor can be treated with cyberknife and what are the chances that the cancer be at least stagnated?
What are the approximate costs?
Thank you
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Joined: 10/10/2008
Posts: 2347
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I think I recall responding to this, but don't see a response.
Glioblastomas can be treated with CK. This sort of treatment is most useful when there is a small area of recurrence, and particularly when there has been a long time since initial treatment
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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Joined: 3/2/2009
Posts: 1
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My 41 year old daughter was diagnosed with a Glio IV in Nov. 2007. Had surgery to remove 90 % of it. It was the size if a grape and was encapsulized. After radiation and 6 months of chemo(temador) she had MRI's every 2 months and everything was well. 2 months ago a new area showed a change on the opposite side of the original spot. Her neuro-oncologist was peetty sure it was another tumor. The radiologist thought it could be a tumor or maybe scar tissue. The surgeon said it was only scar tissue and not to worry. The latest MRI has shown some growth. The neur-oncologist thinks it is a new tumor. I feel we need to do a biopsy to see what it is so we can treat it. Is cyberknife an option and if so can we do it without a biopsy? If we can do it without the biopsy and the spot remains the same size does that mean it is only scar tissue?
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Joined: 10/11/2008
Posts: 928
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If there is indeed growth present, then I would be comfortable treating her with Cyberknife without a biopsy and I do feel that CK would be an appropriate way to treat her. In fact, I recommend that she receive such treatment unless surgical resection is an option, depending upon the exact location of the new area and her overall condition.
Jerome J. Spunberg, M.D., FACR, FACRO
CyberKnife Center of Palm Beach
jspunberg@radiationoncologyinstitute.com
(561) 799-2828 Radiation Oncology Institute
10335 N. Military Trail, Suite C
Palm Beach Gardens, FL 33410
(561) 624-1717
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Joined: 9/6/2009
Posts: 1
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My mother , 52 yrs old is a patient of Glioblastoma multiforme, She had undergone a brain surgery on 6th april`09 followed by a radiation from 29th april to 5th june`09.Presently her chemo therepy sessions are going on,as the doctors says the drug is not working,
her tumor have grown into the same size as it was before the surgery.
Can Cyber knife be used for treatment again ,once the radiation is done. How long can be the gap required if once radiation(IMRT) is already done.
Please suggest
arukun
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Joined: 10/11/2008
Posts: 928
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She certainly could be treated with CK for recurrent glioblastoma, and there is no need for further delay. I would first check with the neurosurgeon to discuss whether additional surgery is not appropriate to excise the recurrence.
Jerome J. Spunberg, M.D., FACR, FACRO
CyberKnife Center of Palm Beach
jspunberg@radiationoncologyinstitute.com
(561) 799-2828 Radiation Oncology Institute
10335 N. Military Trail, Suite C
Palm Beach Gardens, FL 33410
(561) 624-1717
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Joined: 10/10/2008
Posts: 2347
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Also need to look at the size and location of the recurrence to determine eligibility for CK treatment.
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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Joined: 6/22/2010
Posts: 1
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My father has been recently diagnosed with Stage 4 Gliomastoma. He's 75 years old has type 2 diabetes, high blood pressure, and high choresterol. I'm wondering if he is a candidate for the CK procedure...
thanks,
Debbie Ayers
Debbie Ayers
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Joined: 10/10/2008
Posts: 2347
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We still feel that GBM patients should initially be treated with standard radiation techniques an Temodar chemotherapy. Radiosurgery can be used for recurrence if indicated.
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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Joined: 8/15/2010
Posts: 1
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My father, age 73, was diagnosed with GBM grade IV tumor Sept 09. He had surgery to remove most of the tumor but not all. He has undergone radiation therapy (7 wks) along with Temodar. Finished Temodar in March 2010 and no longer treated with Temodar due to ineffectiveness. He underwent CK at St Anthonys end of March 2010, 3 treatments. 3 months after CK he has become much worse, very weak, total loss of short term memory, tingling in legs. Had MRI end of July still showing much swelling on brain. Decadron increased from 8mg a day to 16mg a day Aug 2,10. Still no improvement. He is getting much worse. Cannot help himself with everyday needs. Is this sudden downfall due to the CK treatment? What next or what can we do to help him?
jana
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Joined: 10/10/2008
Posts: 2347
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It is either due to swelling from the treatment or due to tumor progression. Call the office and we can arrange an MRI to see. Steroids can also cause muscle weakness, but usually it is symmetric, while tumors usually cause more unilateral problems.
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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