Radiation this week at MSK

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ginabeewell
Posts: 565
Joined: Wed Oct 24, 2018 10:30 am

Radiation this week at MSK

Postby ginabeewell » Mon Nov 29, 2021 9:25 am

Scans two weeks ago showed regrowth at the same site on my liver that keeps appearing / disappearing with chemo.

Dr K recommended radiation, so that’s the plan starting later today. In proper MSK fashion, I went from scan results to radiology consult to tattooing over the course of about 24 hours; and with the holiday in between I feel like this has really crept up on us.

I’ll have six treatments: today thru next Monday.

Anything besides the obvious (nausea, fatigue, dryness) that I should know?
49 YO mom of twins (11) lucky stepmom of 16/19 year olds
9/17/18 DX stage 4 CRC w inoperable liver mets CEA 931
Currently NED!

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MadMed
Posts: 216
Joined: Sun May 02, 2021 5:52 pm
Location: Massachusetts

Re: Radiation this week at MSK

Postby MadMed » Mon Nov 29, 2021 9:54 am

I hope you don't get this, it surprised me after radiation of the rectum: Radiation enteritis.

I don't know about radiation to the liver and if it is something that can happen, i would ask though.
Radiation does work, it is effective for the most part, so that hopefully means you can get rid of this regrowth for good.

Best wishes.
52M DX: RC lower rectum, guessing now 2cm from AV 4/27/2021
T3N0M0 adenocarcinoma with signet ring cell features
Tumor size 30mm
Tumor grade: G3
Baseline CEA 1.0
MSI status: MSS pMMR
Started Folfox 5/12/2021
Switched to FOLFIRINOX from session 2. 8 rounds total.
CT+MRI tumor contained shrunk 80%, no spread to other organs.
CRT started xeloda + 28 days Radiation 9/27-11/04
NED as of 4/06 CT/MRI/sigmoidoscopy
On W&W 04/06/2022

Rock_Robster
Posts: 1027
Joined: Thu Oct 25, 2018 5:27 am
Location: Brisbane, Australia

Re: Radiation this week at MSK

Postby Rock_Robster » Mon Nov 29, 2021 9:51 pm

Given it’s the liver, this is most likely to be a highly-targeted form of radiation known as SBRT (or SABR). This has the benefit of (usually) minimal systemic side effects when compared with typical wide-field radiation. A lot of work will go into trying to avoid radiating healthy tissue, which may also include inserting tiny fiducial markers prior to the treatment.

As you point out, fatigue is likely, and some nausea is possible. Most folk seem to tolerate this process well, and local tumour control rates are generally very good.

Best of luck for it!

Rob
41M Australia
2018 Dx RC
G2 EMVI LVI, 4 liver mets
pT3N1aM1a Stage IVa MSS NRAS G13R
CEA 14>2>32>16>19>30>140>70
11/18 FOLFOX
3/19 Liver resection
5/19 Pelvic IMRT
7/19 ULAR
8/19 Liver met
8/19 FOLFOX, FOLFOXIRI, FOLFIRI
12/19 Liver resection
NED 2 years
11/21 Liver met, PALN, lung nodules
3/22 PVE, lymphadenectomy, liver SBRT
10/22 PALN SBRT
11/22 Liver mets, peri nodule. Xeloda+Bev
4/23 XELIRI+Bev
9/23 ATRIUM trial
12/23 Modified FOLFIRI+Bev
3/24 VAXINIA (CF33 + hNIS) trial

stu
Posts: 1613
Joined: Sat Aug 17, 2013 5:46 pm

Re: Radiation this week at MSK

Postby stu » Thu Dec 02, 2021 2:38 am

Great plan . Hope it is very successful for you .
Take care ,
Stu
supporter to my mum who lives a great life despite a difficult diagnosis
stage4 2009 significant spread to liver
2010 colon /liver resection
chemo following recurrence
73% of liver removed
enjoying life treatment free
2016 lung resection
Oct 2017 nice clear scan . Two lung nodules disappeared
Oct 2018. Another clear scan .

claudine
Posts: 809
Joined: Tue Mar 12, 2019 2:41 pm
Location: Montana

Re: Radiation this week at MSK

Postby claudine » Thu Dec 02, 2021 2:25 pm

My husband had SBRT for his L4 met (3 fractions), nothing to report beside fatigue and nausea (but liver may be different?). Burn, baby, burn!!
Wife of Dx 04/18 (51 yo). MSS, KRAS G12A, no primary

Tumors: L4 04/18; left adrenal gland & small lung nodules 03/19
rectum 02/22 (pT3 pN0 stage 2A); L3 09/22

Surgeries: intestinal resect. 05/18 (no cancer - Crohn's); adrenalectomy 02/20
L3-L4-L5 fusion and corpectomy 05/20; LAR 04/22; ileo reversal 09/22
L2-L3 fusion and corpectomy 09/22

Treatments: EBRT 04/18; SBRT 02/19; Failed adjuvant Xelox ; Folfiri/Avastin 03/19 - 01/20
adjuvant chemorad (Xeloda) 06/22; SBRT 11/22; Xeloda/Avastin since 01/24

texazgal
Posts: 161
Joined: Fri Sep 28, 2007 4:40 pm
Location: central Texas

Re: Radiation this week at MSK

Postby texazgal » Sat Dec 04, 2021 12:51 pm

I had 28 rounds of radiation and 5 chemos as the initial treatment for esophageal cancer and it really knocked the tumor out. But, it has since then it has metastisfied to liver and hip bone. Bummer! But the radiation had few side effect. They told me I might have a very sore throat as the treatment was ending but I didn't.
DX rectal cancer Aug 04
Surgery Sept 04, perm ostomy, "BarbieButt" Sept 23, 04.
June 2019 stage 3 esophageal cancer
Aug. 2019 28 radiations, 5 chemo
Nov. PET shows original tumor and mets resolved, 2 new mets in liver and bone.
May 2020 port installed, started Folfox hope to do 12 rounds, cure not expected
Keytruda April 2021 8 rounds
scan showed small growth in tumors
Paclitaxol started summer 2021.
Scan July 30, 2021 showed small decrease in size of tumors in liver and bone


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