Ok, saw the brain oncologist today and got the official word (instead of 2nd hand from a phone call).
Good News:
The old April tumor isn't "reactivated". There is some brain tissue swelling around the tumor, but apparently that is expected for as long as a year after CyberKnife treatment.
Bad News:
6 new tumors in the brain. That brings the total to 8 now. These 6 new tumors are all less than 5mm (0.5cm) in diameter with many only 2mm (0.2cm).
Doctor recommended (as expected) whole brain radiation. However, once we explained the situation with my liver and lungs we agreed to postpone any treatment for now in favour of treating the more pressing liver pain.
We've rescheduled an MRI in Jan to see if any are growing aggressively. He's willing to consider CyberKnife on quick growing tumors as an option to preserve quality of life in the short term, vs. long term "cure" of killing all tumors with full brain radiation.
I haven't given up the option of full brain radiation. If the liver pain is resolved in Dec and the Jan MRI shows even more tumors, then I may consider full brain radiation instead of the threat of my brain being over-run by cancer tissue. Apparently full brain radiation has a good success rate vs. small tumors, but not large ones. Also, if I do get full brain radiation, there will be no escaping the extreme fatigue side-effect. However, the other side-effects are "rare"; though I don't consider 1 in 10 rare... lol
Regards,
Shane
Short Executive Status (Summary) -- Blog is below
Active Tumors:
» 5+ liver tumors -- largest is 7 cm by 5.2 cm (70 x 52 mm), Gold tracers inserted Nov 21 for CyberKnife x-ray 3D movement tracking. Thu Dec 1st,2011, CyberKnife planning. Dec 16th, treatment 1/3 done to whole liver. Dec 19th, treatment 2/3 done to whole liver. Dec 21st, treatment 3 failed, couldn't get tracer alignment. Dec 22nd, treatment 2.5/3 done using 2 of 4 tracers. Final 0.5 treatment was to be done Tue Dec 27th. Cancelled due to complications and hospitalization.
» 12 lung tumors -- largest is 8 mm in size (0.8 cm)
» 1 lymph node tumor -- near left renal vein & artery of left kidney (1.4 cm). Nov 14th: Ultrasound done of both kidneys and bladder area, all 3 areas are cancer free.
» 3rd-8th brain tumors -- 6 new brain tumors. Sizes all less than 5mm(0.5cm). Some as small as 2mm(0.2cm). Full brain radiation or CyberKnife TBD in Jan after 2nd MRI to see speed of growth.
Inactive Tumors:
» 2nd brain tumor -- Killed via CyberKnife Sep 29/2011, 5 mm in size (0.5 cm).
» 1st brain tumor -- Killed via CyberKnife May/2011, was 20 mm in size (2 cm). Nov 21st, still showing brain tissue swelling, but not active.
» Original Esophogeal Cancer tumor (source of everything) -- Surgically removed June/2010 by 3-field Esophogectomy. Was roughly large egg sized.
[ Note: 2.54 cm = 25.4mm = 1 inch ]
Link to 34 surgery June 2010 pictures and some post surgery shots.
» 5+ liver tumors -- largest is 7 cm by 5.2 cm (70 x 52 mm), Gold tracers inserted Nov 21 for CyberKnife x-ray 3D movement tracking. Thu Dec 1st,2011, CyberKnife planning. Dec 16th, treatment 1/3 done to whole liver. Dec 19th, treatment 2/3 done to whole liver. Dec 21st, treatment 3 failed, couldn't get tracer alignment. Dec 22nd, treatment 2.5/3 done using 2 of 4 tracers. Final 0.5 treatment was to be done Tue Dec 27th. Cancelled due to complications and hospitalization.
» 12 lung tumors -- largest is 8 mm in size (0.8 cm)
» 1 lymph node tumor -- near left renal vein & artery of left kidney (1.4 cm). Nov 14th: Ultrasound done of both kidneys and bladder area, all 3 areas are cancer free.
» 3rd-8th brain tumors -- 6 new brain tumors. Sizes all less than 5mm(0.5cm). Some as small as 2mm(0.2cm). Full brain radiation or CyberKnife TBD in Jan after 2nd MRI to see speed of growth.
Inactive Tumors:
» 2nd brain tumor -- Killed via CyberKnife Sep 29/2011, 5 mm in size (0.5 cm).
» 1st brain tumor -- Killed via CyberKnife May/2011, was 20 mm in size (2 cm). Nov 21st, still showing brain tissue swelling, but not active.
» Original Esophogeal Cancer tumor (source of everything) -- Surgically removed June/2010 by 3-field Esophogectomy. Was roughly large egg sized.
[ Note: 2.54 cm = 25.4mm = 1 inch ]
 | 5 pictures included in album | ||
| 2011_11_16, Shane in BIG CHAIR |
Link to 34 surgery June 2010 pictures and some post surgery shots.
Latest Picture
Shane - 2011_11_27, Photo Shoot lighting prep
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