Anyone Done SBRT to the Lung?

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James65
Posts: 382
Joined: Thu Mar 06, 2008 9:41 am
Location: Exeter, NH
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Anyone Done SBRT to the Lung?

Postby James65 » Tue Dec 17, 2019 10:04 am

Hi All,
It's been a while, but my cancer seems to be fairly persistent.

I have a small (about 1cm) tumor in my upper left lung lobe along the incision scar from a previous resection. My radiation oncologist said that when lung resections recur it is often along the incision scar.

I am going to do SBRT and wondering what others have experienced with this treatment. Any advice? I begin in mid January.

Best to you all,
James
Diagnosed with stage III rectal tumor (though probably late stage II) January 2006.
Chemo/Radiation
Full APR Surgery
Folfox Chemo
So far NED.
Oops. Liver tumor diagnosed 10/13 after elevated CEA. Liver resection for 5cm tumor 12/6/13. So far so good.
Oops again, one tumor in each lung diagnosed 8/8/16. One too small to deal with and the other resected in late September. Wait and watch for now.
Oops, another lung Met in upper left lobe on edge of previous resection scar 11/11/19.

Claudine
Posts: 346
Joined: Tue Mar 12, 2019 2:41 pm
Location: Montana

Re: Anyone Done SBRT to the Lung?

Postby Claudine » Tue Dec 17, 2019 10:18 am

Hi James,
My husband had it done in his 4th lumbar vertebrae, after "regular" radiation (EBRT I believe) failed to control the cancer there. It's been about a year and so far so good; the treatment was delivered in 3 doses. No side effects beside a little fatigue. So although we have no experience with SBRT for lung mets, we're big supporters of this technology! I hope it works for you. Everything I've read about it for met control has been quite encouraging.
Wife of Dx 04/18 (51 yo). MSS, KRAS G12A
No primary (involuted?)
Lytic tumor L4 vertebrae, EBRT radiation 04/18, SBRT 02/19
Resection small intestine 05/18 (no cancer found - Crohn's)
Failed adjuvant Xelox
Folfiri + Avastin 03/19 to 01/20
6.7 cm left adrenal mass 03/19, successful resection 02/20
CEA since 03/19: high 58, low 3.2, now 7.6
Scan 03/19: Multiple small lung nodules up to 5mm
Scan 12/19: one 1mm stable nodule
PET 04/20 small uptake by L4
L3-L4-L5 fusion surgery and residual tumor removal 05/20

James65
Posts: 382
Joined: Thu Mar 06, 2008 9:41 am
Location: Exeter, NH
Contact:

Re: Anyone Done SBRT to the Lung?

Postby James65 » Tue Dec 17, 2019 10:27 am

Hi Claudine,
Thanks so much for the reply. Very helpful.

Best,
James
Diagnosed with stage III rectal tumor (though probably late stage II) January 2006.
Chemo/Radiation
Full APR Surgery
Folfox Chemo
So far NED.
Oops. Liver tumor diagnosed 10/13 after elevated CEA. Liver resection for 5cm tumor 12/6/13. So far so good.
Oops again, one tumor in each lung diagnosed 8/8/16. One too small to deal with and the other resected in late September. Wait and watch for now.
Oops, another lung Met in upper left lobe on edge of previous resection scar 11/11/19.

zephyr
Posts: 283
Joined: Thu Aug 18, 2016 7:31 am

Re: Anyone Done SBRT to the Lung?

Postby zephyr » Tue Dec 17, 2019 10:34 am

I had 5 sessions to treat a nodule in my upper right lung. Easy peasy. It's been 6 months and so far, so good.
Nov-2009 Early stage CRC found during routine colonoscopy
2010, 2011, 2014 Follow up colonoscopies, all clear
Jun-2016 CRC found during routine follow up colonoscopy, surgery, Stage 4, KRAS, MSS, inoperable lung mets
Aug-2016-May-2018 Folfox, 5FU & Avastin, 5FU, Folfiri & Cyramza
Aug/Sep-2018 YAG laser surgeries (Germany) on both lungs, 11 nodules (9 mets) removed
Nov-2018 clean CT scan
Mar-2019 New lung nodules
Apr/Jul-2019 Xeloda/Avastin, SBRT
Sept-2019 Continue Xeloda/Avastin

Claudine
Posts: 346
Joined: Tue Mar 12, 2019 2:41 pm
Location: Montana

Re: Anyone Done SBRT to the Lung?

Postby Claudine » Tue Dec 17, 2019 2:13 pm

We're about to have another SBRT experience, for the adrenal gland this time. DH scheduled for 3 sessions January 2, 6, and 8. Yes! Let's burn this damn thing to a crisp!
Wife of Dx 04/18 (51 yo). MSS, KRAS G12A
No primary (involuted?)
Lytic tumor L4 vertebrae, EBRT radiation 04/18, SBRT 02/19
Resection small intestine 05/18 (no cancer found - Crohn's)
Failed adjuvant Xelox
Folfiri + Avastin 03/19 to 01/20
6.7 cm left adrenal mass 03/19, successful resection 02/20
CEA since 03/19: high 58, low 3.2, now 7.6
Scan 03/19: Multiple small lung nodules up to 5mm
Scan 12/19: one 1mm stable nodule
PET 04/20 small uptake by L4
L3-L4-L5 fusion surgery and residual tumor removal 05/20

James65
Posts: 382
Joined: Thu Mar 06, 2008 9:41 am
Location: Exeter, NH
Contact:

Re: Anyone Done SBRT to the Lung?

Postby James65 » Tue Dec 17, 2019 2:33 pm

Yeah Claudine, I'm with you. Burn it to cinders.

Oncologists should talk like this more, "We're going to kick the s**t out of that thing."
Diagnosed with stage III rectal tumor (though probably late stage II) January 2006.
Chemo/Radiation
Full APR Surgery
Folfox Chemo
So far NED.
Oops. Liver tumor diagnosed 10/13 after elevated CEA. Liver resection for 5cm tumor 12/6/13. So far so good.
Oops again, one tumor in each lung diagnosed 8/8/16. One too small to deal with and the other resected in late September. Wait and watch for now.
Oops, another lung Met in upper left lobe on edge of previous resection scar 11/11/19.

Amarie123
Posts: 47
Joined: Wed Nov 14, 2018 6:46 am

Re: Anyone Done SBRT to the Lung?

Postby Amarie123 » Tue Dec 17, 2019 9:20 pm

I had SBRT to my liver with good results so far. Also, the procedure was easy with few side effects besides fatigue.

Claudine
Posts: 346
Joined: Tue Mar 12, 2019 2:41 pm
Location: Montana

Re: Anyone Done SBRT to the Lung?

Postby Claudine » Wed Dec 18, 2019 10:55 am

Image
Wife of Dx 04/18 (51 yo). MSS, KRAS G12A
No primary (involuted?)
Lytic tumor L4 vertebrae, EBRT radiation 04/18, SBRT 02/19
Resection small intestine 05/18 (no cancer found - Crohn's)
Failed adjuvant Xelox
Folfiri + Avastin 03/19 to 01/20
6.7 cm left adrenal mass 03/19, successful resection 02/20
CEA since 03/19: high 58, low 3.2, now 7.6
Scan 03/19: Multiple small lung nodules up to 5mm
Scan 12/19: one 1mm stable nodule
PET 04/20 small uptake by L4
L3-L4-L5 fusion surgery and residual tumor removal 05/20


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