Liver SBRT/SABR tips?

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Rock_Robster
Posts: 676
Joined: Thu Oct 25, 2018 5:27 am
Location: Brisbane, Australia

Liver SBRT/SABR tips?

Postby Rock_Robster » Thu Mar 24, 2022 11:10 pm

Hi all, looks like I’ll be lining up shortly for SABR/SBRT on 3 liver lesions; one ~35mm, the other 2 small (see my other thread for the drawn-out story…). Likely 3 fractions over 6 days.

My integrative doc has a complementary program to go alongside it, but am interested if folk have any experience/tips for handling treatment side effects? I did 25 fractions of pelvic IMRT a couple of years ago and I understand it’s considerably easier than that…

Thanks, Rob
40M Australia
2018 Dx RC, 12cm high
Mod diff, EMVI, LVI. 4 liver mets
pT3N1aM1a Stage IVa. MSS NRAS G13R
CEA: Nov-18= 14; then ~2. Nov-21: 5.4
11/18 FOLFOX x6
3/19 Liver resection
5/19 25x pelvic IMRT radiation
7/19 ULAR & ileo, 1/27 LN
8/19 Liver lesion
8/19 FOLFOX, FOLFOXIRI, FOLFIRI x7
12/19 Liver resection
NED
2/20 Ileo reversed
11/21 Liver met & celiac node; 2-3 tiny lung things, indeterminate
12/21 PVE
3/22 Nodal spread & 3 liver lesions. Lymphadenectomy
4/22 Liver SBRT x 5

roadrunner
Posts: 240
Joined: Sun Jan 12, 2020 8:46 pm

Re: Liver SBRT/SABR tips?

Postby roadrunner » Thu Mar 24, 2022 11:24 pm

I just had SBRT done on a suspected lung met in January, so I can’t say much about SBRT in the liver, but the lung version involved zero noticeable side effects for me. My only comment is that the breath holds (we did longer than the usual 20 s because I could do it and it reduced the number of fractions) took a little getting used to, good to practice with the machine, but it was a breeze. Nothing like the challenging course down below.

My main reason for posting was just to wish you well, though. So here goes: Good luck—I hope and trust it will obliterate the mets!
7/19: Rectal cancer: Staged as IIIA, T2N1M0
approx 4.25 cm, low/mid rectum, mod. well diff.
8/22 -10/14 4 rounds FOLFOX neoadjuvant, 3 w/Oxiplatin (side effects/reduced size est. 70-75%)
neoadjuvant chemorad 11/19
4 rounds of FOLFOX July-August 2020
ncCR found 10/20; biopsies negative
TAE 11/20, tumor cells removed, lung nodules orig id’d 6/20 stable Nov 2020
Chest CT 3/30/21 small growth in 2 nodules (3 and 5mm)
VATS 12/8/21 sub-pleural met 7mm.
SBRT for remaining nodule 1/22
CT 3/22: Clear

Rock_Robster
Posts: 676
Joined: Thu Oct 25, 2018 5:27 am
Location: Brisbane, Australia

Re: Liver SBRT/SABR tips?

Postby Rock_Robster » Thu Mar 24, 2022 11:30 pm

roadrunner wrote:I just had SBRT done on a suspected lung met in January, so I can’t say much about SBRT in the liver, but the lung version involved zero noticeable side effects for me. My only comment is that the breath holds (we did longer than the usual 20 s because I could do it and it reduced the number of fractions) took a little getting used to, good to practice with the machine, but it was a breeze. Nothing like the challenging course down below.

My main reason for posting was just to wish you well, though. So here goes: Good luck—I hope and trust it will obliterate the mets!

Thank you RoadRunner! Very encouraging :D
40M Australia
2018 Dx RC, 12cm high
Mod diff, EMVI, LVI. 4 liver mets
pT3N1aM1a Stage IVa. MSS NRAS G13R
CEA: Nov-18= 14; then ~2. Nov-21: 5.4
11/18 FOLFOX x6
3/19 Liver resection
5/19 25x pelvic IMRT radiation
7/19 ULAR & ileo, 1/27 LN
8/19 Liver lesion
8/19 FOLFOX, FOLFOXIRI, FOLFIRI x7
12/19 Liver resection
NED
2/20 Ileo reversed
11/21 Liver met & celiac node; 2-3 tiny lung things, indeterminate
12/21 PVE
3/22 Nodal spread & 3 liver lesions. Lymphadenectomy
4/22 Liver SBRT x 5

Markdale
Posts: 33
Joined: Wed Dec 02, 2020 4:45 pm

Re: Liver SBRT/SABR tips?

Postby Markdale » Fri Mar 25, 2022 2:06 am

Hi rob, I had sabr to 2 lung nodules not long ago. I had a positioning appointment before the treatment date where they positioned me on something like a bean bag and sucked all the air out. They also put 4 little tattoos so they can reposition the exact same way for treatment. I had no after effect from treatment. The follow up cut showed scarring at the nodules. I think I read that nausea can be a problem after radiation to the liver, but I’m guessing that compared to chemo it’ll be nothing. Hope it goes well for you.
09/20:Diagnosed after colonoscopy for bleeding.
MRI and ct scan confirmed tumor at rectosigmoid junction aswell as lung nodules in RLL (1X1.2cm) and RUL (3X.5cm)
10/20: low anterior resection tumour t3n2m1 4/24 lymph nodes. No ileostomy.
11/20: pet scan showed low to moderate uptake of glucose.
11/20: folfoxiri - 10/6/21. 12 rounds in total
12/20: ct lung biopsy of lung nodule to confirm metastasis. Biopsy unsuccessful
1/1/21 thoracotomy (unsuccessful)
2/2022 sabr to 2 lung nodules

jsbsf
Posts: 92
Joined: Sat Aug 24, 2019 6:01 am
Location: San Francisco

Re: Liver SBRT/SABR tips?

Postby jsbsf » Mon Apr 04, 2022 11:32 am

Hi Rob,

I was following your other thread. I was out of the loop for a few months. Somehow this site has been the best thing for me, and other times when I come here all the dark times come rushing back, and it does a number on my emotions.

But I’m back because, like in your situation, DH has what seems to be a recurrence. As far as I know it didn’t metastasize, and the rectal surgeon seems quite optimistic.

So I went back to reviewing the supplements we’ve been taking and also noticed you are open to including supplements in your regimen.

Here is a pretty recent article about IP-6 + Inositol: https://anticancer360.com/ip-6-inositol ... e-effects/

I was kind of late finding out about it, but after reviewing our supplements again, we’ve come back to it. There is also research about Tagamet (cimetidine) that seems promising.

I just wanted to pass that information along to you. Wishing you the best.
DH 61
2019 4A t3 n2 m1a
8/23 C-scopy, 5+cm mass. CEA:4.1
8/26 CT ~1cm lvr met?
9/6 PET: lvr spot
9/16 MSS. MRI: 2 live mets: 2.7 & 7mm
9/23 Port
9/30 Start FOLFOX 1-6
10/4 Lg lvr met ~3.7cm (raised concern), pri tmr stable.
CEA: 10/13,12.5;10/27-12/8 btw 4.7 & 3.1
11/5 both lvr mets ~ 2/3 smaller.
12/17 PET: sm lvr met gone, remaining tmrs @10% of orig sz & actvty
Chemo break
2020
MWA 2/5, Lap resection 2/11
CEA: 3/1-5/31 btw 2.1&2.9
3/2 start FOLFOX 7-12
7/23-29 rad
10/2/2020 NED/W&W


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