Cyberknife success - Retroperitoneal fibromatosis - biliary obstruction.

Retroperitoneal fibromatosis - biliary obstruction.

A 33 year old lady was evaluated and diagnosed to have a retroperitoneal fibromatosis.

She underwent surgery and post operative radiotherapy . She was on follow up. She delivered a baby boy after a couple of years. 4 months after delivery, she was evaluated for weight loss and poor appetite. She was found to  have biliary obstruction .

Pet ct showed a small recurrent mass causing the obstruction. She was re irradiated with cyber knife radio surgery.

Follow up pet ct showed regression in the size and activity of the mass  This patient benefited of this treatment modality without major surgery. She is doing well and enjoying with her baby

This is a case study discussion of Dr.Rathna who is a senior consultant , Radiation Oncology, Apollo Speciality Hospital, Chennai.

To know more about cyberknife kindly blog your comments or you can write to me at lakshmipriya_b@apollohospitals.com/9940675877

Back pain due to aortacaval mass - Success with Cyberknife.

Colon Carcinoma - Back pain due to aortacaval mass

A 49 year old man , a known case of carcinoma colon post op, post chemo( in August 2013) was evaluated for back ache. He was operated upon for spondylolisthesis in November 2013.

He had no relief of symptoms. A pet ct done in March 2014 showed an aortocaval mass. There was no lesion elsewhere in the body. He was treated with cyber knife radio surgery. He started having pain relief during treatment  and a substantial relief during follow up.

He was followed up by medical oncologist with chemo . 2 months follow up PET Scan revealed no lesion in the region treated with cyberknife radiosurgery

This is a case study discussion of Dr.Rathna who is a senior consultant , Radiation Oncology, Apollo Speciality Hospital, Chennai.

To know more about cyberknife kindly blog your comments or you can write to me at lakshmipriya_b@apollohospitals.com/9940675877

Success with Cyber Knife - Hepato Cellular Carcinoma

Hapato Cellular Carcinoma- Successful treatment with Cyberknife 

A 60 yr old gentleman was incidentally found to have a space occupying lesion in the liver  which was diagnosed as hepatocellular carcinoma in June 2013.

He underwent a resection of the lesion in July 2013.Follow up imaging showed a small residual lesion and hence he was started on Tab.Sorafinib from November,2013. But serial imaging showed
an increase in the size of the lesion. Biopsy of the lesion confirmed it to be hepatocellular carcinoma.

The various treatment options were discussed. The patient was not keen for surgery and due to the
proximity of the hepatic vein, RFA was also difficult. It was decided to give radio surgery with Cyber knife to the residual lesion. 

After fiducial placement for real time tracking of the lesion, a total dose of 40 Gy was delivered in 5 fractions. He underwent the treatment quite well with no difficulties. Follow up after 2 months imaging
showed a decrease in the size of the lesion with reduced activity of FDG uptake indicating good response to the treatment.

This is a case study discussion of Dr.Rathna who is a senior consultant , Radiation Oncology.

To know more about cyberknife kindly blog your comments or you can write to me at lakshmipriya_b@apollohospitals.com/9940675877