New Plan, New Chapter for progression
 

Today begins another new journey for me in the cancer connection. The PET/CT and MRI showed tumor involvement with the brachial plexus nerve, causing the pain and numbness in the shoulder, neck and chest. I am fortunate that at this time, the 2 masses are pressing and not entwined. Gemzar was stopped today, and I will have mapping for radiation tomorrow. I will remain on Herceptin through rads, and will go back to the 3 week dose. Since I am not showing active systemic disease at this time, only local disease, it seems like perfect timing to try to blast the nodes and masses.

I am NOT looking forward to the 7 weeks of 150 mile a day trips to Chicago, but in the cancer world we do what we must.

After radiation, the oncologist said I will resume chemo.

When my journey began almost 10 years ago, I had 2 goals, to live 10 years, and to reach 60....well both will occur in the next 2 months, time for me to reset my goals and plan for 10 more years and 70! I refuse to go out without a fight!

Any tips on neck radiation are welcome, or radiation in general.....hoping I dont get too tired as I will be driving myself.....
I would appreciate prayers and positive thoughts for a successful journey ...I dont know how I would have gotten this far without all the love & support from those on this site!

Re: New Plan, New Chapter for progression
 

I will pray for you, Sheila.

Re: New Plan, New Chapter for progression
 

Dear Sheila

I know you will be able to get through this new hurdle and win a gold medal. I will and always do keep you in my thoughts and prayers. Fry those tumors and nodes to obilvion

Re: New Plan, New Chapter for progression
 

Why limit yourself to 70 ?? Go for 80,90 and beyond.
Personally I am planning to live to at least 90. Please join me.
Good luck with the radiation. I am in your cheering section and I will keep my fingers crossed for you.
Take care and keep putting one foot in front of the other.

Re: New Plan, New Chapter for progression
 

Sorry to hear this but glad you are renewing the 10 year plan!
Is there any relief for the driving? I know our local hospital/cancer center has a hotel sort of facility where you and family members can stay inexpensivly while receiving treatment to avoid long drives. Or is there a transportation service?
Keep the faith.

Re: New Plan, New Chapter for progression
 

Hi Sheila
Will certainly pray for you as you embark on this new journey.Really glad to hear that there is no further systemic disease and I hope these rads will lead you to NED.
Good luck
Ellie

Re: New Plan, New Chapter for progression
 

Re: New Plan, New Chapter for progression
 

Sheila,

From the moment I first joined this forum, YOU have been my hero. I'm so sorry that you have more (as Brenda would say it), Crap on a Crapstick!! I agree with Elaine - go for 90 as a long term goal!

I do have a wonderful and delightful cousin that lives in the Chicago area by herself. Let me know if you are interested at all in staying in Chicago part of the time instead of commuting.

Love YOU!!

Alice

Re: New Plan, New Chapter for progression
 

Hi Sheila,

I have had to go to a larger center twice in the last 2 years for radiation treatments; once for 6 weeks and once for 4 weeks. Both times I actually moved there for the duration because it would have been 600 km roundtrip each day. I looked into the Cancer Lodge where I would have had to pay $40/night (however there was a $50/ night extra charge if someone were to stay with me) and meals were provided, a local inexpensive hotel for $50/night, or a short term rental at a condo (good thing it was the off-season) which equalled the cost overall of the hotel. I decided on the condo because it was like home and I could have visitors and family stay with me. Yes, it was expensive and we had to use our savings, but I have and will be adding it to my income tax expenses and I didn't really have a choice to drive that far everyday. The Cancer Agency where I went also had a list of accommodations but I basically found out the short-term rental idea because of someone I knew from my area; the Cancer Agency didn't have condos as an suggestion.

In the long run, it was less stress on me; treatments were at different times of the day and I was a five minute drive from the centre. I had alot of company that would be my support and I actually spent time with my 3 sisters for the first time in 4 1/2 years. One came from Ottawa (across the country), one from Calgary (eight hours away) and one from my area. I call those times my radiation vacations because so many people helped to make the time easier for me and because for the most part my radiation treatments have been the only time I've gone away.

Caroline

Re: New Plan, New Chapter for progression
 

Sheila, hope this new treatment works well. You could be NED soon!

Re: New Plan, New Chapter for progression
 

Sheila,
Well yes, get that next 10 year plan in place! I know you've been waiting so long just to get answers about what's going on, so you could know what you're dealing with. You were correct in your guesses - and now you can move forward.

There is good news in there tho. Good news that systemically things are still under control. Good news that you can now blast the local crap and get some relief. Good news, I think, that you can take a break from the Gemzar and hopefully regain your strength (and some of those darned "counts") or at least hold your own with the rigors of radiation.

I REALLY like the idea of getting a place to stay up there. I know you hate being away from your family - they are so much your lifeline - but to do that commute daily in the winter sounds nasty, especially if you are not feeling well. I assume there is public transportation to Rush, so there might be many options. With gas, wear and tear on your car, you might not be that much more out of pocket.

You know you would be welcome at my sister's house, but the Yorkie (and moody 15 year old!) might just push you over the edge!

Let me know if I can help you in any way. You know you are in my constant prayers.

Stamps, magic and miracles to you my friend!
Chris

Re: New Plan, New Chapter for progression
 

Sheila,

You're awesome!!! Here's to 10 more years! And good luck with all the logistics getting to the Windy City. Maybe you can stay up there for the 7 weeks? Any sisters here willing to let you stay with them?

Many hugs,

Marcia

Re: New Plan, New Chapter for progression
 

I am loving all the suggestions and positivity I am getting from all of you! As far as staying in the city, probably not possible...my husband begins 6 weeks of mandatory 12 hour days, six days a week next Monday, so he will be gone from 6am to 8pm.....I have 2 loving black labs that would not be happy to be alone that much...I just calculated my miles for taxes from last year....7800 to Chicago.....if things get to be too much, I will get help, if it means getting my Dad to stay here so I can stay up there....I just hate to ask him...he will be 88 this year, and his get up and go has gotten up and gone...

Re: New Plan, New Chapter for progression
 

Sheila,

Oh goodness, your Dad is 88- gosh yes, shoot for 90! I read through your history and all you've conquered and been through and I feel like you will certainly get through all of this somehow too. I've felt like my dreams of becoming a grandma some day are rather pie in the sky since I'm 44 years old- but heck a 10 year plan suddenly sounds good to me!

Thanks for blazing the trail for the rest of us! Sending lots of prayers and light your way!

Re: New Plan, New Chapter for progression
 

Sheila,
How cute are those dogs! There's lots of incentive to get home to them I'm sure! I love your going for gold attitude. Good luck with the radiation I hope the travelling goes smoothly for you and that you get at least a couple of stop overs near the centre to rest up too.
Take it easy and be careful with that driving
Jenny x

Re: New Plan, New Chapter for progression
 

Sheila I found rads tiring but I would'nt want to leave those beautys either, sending good wishes and know I'll be thinking of you and willing you the luck of the Irish!!:)

Re: New Plan, New Chapter for progression
 

Love the dogs! I hope you figure out a plan that won't be too taxing. We're pulling for you!

Re: New Plan, New Chapter for progression
 

Hi Sheila, good luck to you, hope it all goes well, amd please let us know your plans for the next 10 years and beyond! Your dogs are so cute, little flakes of snow on them!
Dawn

Re: New Plan, New Chapter for progression
 

I TOTALLY LOVE YOU. Walt sends his love and he thinks you will be hitting that 70 mark along with your sisters. I agree. You are a magnificent fighter and if I can be half the woman you are, Sheila, I shall be blessed.

My bet is that your Dad would be honored to help you. Naturally, you cannot leave your two furry children. I completely understand your position, and if we are honest our pets give us so much to live and fight for. How can that be, I wonder, and yet it is so very true.

Guess we will have to plan on a meeting in San Antonio next year for a short term goal!

Re: New Plan, New Chapter for progression
 

Sheila,

I have to echo Laurel...I TOTALLY LOVE YOU also. I have been eagerly awaiting to hear about your tests...boo hiss to the results. But Sheila, if there is anyone that can whip those tumors into oblivion it is YOU. You are so brave and strong and unsinkable….and at the same time so tender and loving and caring to those of us fortunate enough to call you friend.

Okay, those precious babies…I LOVE THEM TOO. I wouldn’t be able to leave them for a minute!

How can I help you? I will drive from Detroit to take you to your treatments…and you can sleep on the way back. You can even drool and I won’t tell anyone. Or I can stay with the 4-legged babies. I wish I could scoop you up and safely deposit you to the end of March when your rads worked and you are free of the beast and mapping out the next 30 years.

Love you, Sheila

Maureen

Re: New Plan, New Chapter for progression
 

Take away....you are LOVED, girlfriend!

Re: New Plan, New Chapter for progression
 

Good luck with the treatments Sheila!
You are my hero, and I'm with you on the 10 year plan - actually, 20, 30, 40 year plan...

all the best
caya

Re: New Plan, New Chapter for progression
 

Sheila,
I am saying strong prayers for you. I understand the concern for your two babies...(have one of my own)
Is it possible to find temporary afforable housing
for the time you need to up in Chicago that permits pets.
Maybe you could look into that we have a few of them
here for the people who are relocating and require part time residence - they even have places that permits pets.
Go on line or ask your local real estate company if they have a connection of such a facility. Radiation can be draining...I used to make my appointment the last one at night around 8 PM so that I finished went home and went to bed. Making morning appt. or early afternoon appt. I found that if there was machine issues and delays I would sit for hours. But last appt. at night any issues were resolved during the day. Hope this helps.
Wish I had family in Chicago to open their doors to you.
Also to consider maybe a college student looking to earn some dollars would be willing to be hired to drive you (at least for part of the treatments) which would give you a break. Love you Sheila and I will keep you in my thoughts and prayers.
Jean

Re: New Plan, New Chapter for progression
 

Sheila,

I drove myself my seven weeks of rads, but it was only an hour each way. Not so bad, but the fatigue did start setting in as I got closer to the end of treatment. Maybe at that point you could give yourself a break midweek. Stay over on Tuesday night or Wednesday night if Dad can keep the babies! He just might enjoy one night a week with the granddogs!

I have no doubt you will scare this beast to passivity yet again!

You are in my thoughts and prayers.

Re: New Plan, New Chapter for progression
 

Sheila,
You are in my prayers EVERY day...but I'll pray especially hard while you're starting your trip toward 70! After all you've been through, rads should be a breeze! You are an inspiration!

Your "babies" are beautiful! They must bring so much joy into your home! I can definitely understand why you would be reluctant to be away from them. Stupid Cancer! :(

I have to admit, when I had radiation, I was fine until week 5...then the fatigue became overwhelming. Driving...in winter...would not have been a good idea. Just something to consider. Were you fatigued during your rads in 2009?


All the best!
Denise

Re: New Plan, New Chapter for progression
 

Hi Sheila,

So sorry to hear about your progression. Remember you have the best docs on the planet at Rush/Chicago...so I am confident you will get the best treatment possible. That radiation department at Rush is impressive...You might want to message me off line, but where do you live? We have an apartment in the Chicago suburbs with my mom but our permanent home is on a lake 150 miles west of Chicago. We spend our time between the two places, since we both can work remotely. I would be willing to help you out, drive you to radiation etc. just so you have a buddy to talk to! Let me know if I can help you. Or possibly I can watch those beautiful labs of yours...I would love to get my hands on those 2 cuties!!! Our lake property is lab heaven!! We have two Jack Russell terriers. 10 years...you are a warrior!!!

Re: New Plan, New Chapter for progression
 

Shelia, Thanks so much for the update- I'd been thinking about you and praying for good news. I think the radiation will really help, but from what I remember- it is very tiring and causes alot of inflammation, making you feel worn down. The radiation feels alot like a sunburn that goes right through your body, but thankfully the symptoms don't start until about week 2. For your drive bring comfy clothes, nothing that presses or rubs on the area, I really liked shirts that buttoned in the front, but I had radiation to my chest and axilla. I'd suggest to schedule your daily radiation and drive when you are most awake and ask your team if there is the possibility of moving your appointment time on short notice, like if your having a rough day or are caught in traffic. I'd hate for you to be rushing through Chicago traffic, tired and worried about missing your appointment. Remember, all the radiation, chemo and therapies are worthless if you don't make it there in one piece. ;)
Best of luck & love you!
Kristin

Re: New Plan, New Chapter for progression
 

Sheila, Just sending good thoughts on the new plan of action. I agree with your comments....as I was out and about yesterday, I was pondering how I try to live my life around dealing with cancer treatment....trying not to give into it too much....yet, there certainly are revisions and adjustments along the way. May God bless you. With admiration, Ceesun

Re: New Plan, New Chapter for progression
 

Sending my love and good wishes , Sheila. Prayers too.

Barb A.

Re: New Plan, New Chapter for progression
 

Shelia,

I pray with all my heart that this new plan of action will get you well on your way to that rendezvous with NED. You constantly amaze me with your indomitable spirit.

Re: New Plan, New Chapter for progression
 

Sheila, this is exactly why you are such an inspiration to all of us.There is no doubt in my mind you will be here in 10 more years and the 10 after and so on. Stay strong and keep fighting for your health. Eventually we will do that lunch. I could even meet you if you are up to it following one of your rads appt's. Let me know if you are up to it. Nothing like a cafeteria lunch huh!!!!

Re: New Plan, New Chapter for progression
 

I am fairly new to this disease, it's progression, it's diagnoses, and so on. But how impressive you all are in your kind offers to you, Sheila, as you are faced with the next step in your plan. I have learned by reading your posts on this thread and others what a caring group of people you are when another has news to be shared. Unless you have been through any of this, it is difficult to understand the feelings we all share. Most of you have dealt with much more than I, but your genuine words of encouragement and hope and friendship to all others are an inspiration. If I lived near any of you, I would drive with you or meet you or something. No one is alone through all this. Sheila, I pray for strength and endurance as you go into this round of radiation. You are a fighter.

Re: New Plan, New Chapter for progression
 

Shiela

I wish you the best in your new treatment. You are
truly a remarkable person, strong and you have been
through so much. Now is the time for you. You deserve
the breakthrough this time and I will pray that this is it.
I only wish I was closer to help. Maybe someone can
since fatigue is the worst at the end of rads. God bless
your Dad and your babies are so cute with snow on their
noses. Take care.
patb

Re: New Plan, New Chapter for progression
 

Not to make you anxious, but food for thought if any way to lessen likelihood and perhaps prevent:

one of the rare complications of regular whole breast radiation therapy is brachioplexopathy, which usually occurs years later and can be debilitating and painful.

Since this radiation is not for the whole breast but SPECIFICALLY FOR the area near/adjacent to/possibly including the brachial plexus, I would get a second opinion on the radiation therapy aspect of it--are there any techniques, what does/does not need to be in the field, different types of brachial plexus treatments which might lessen the likelihood of that.

As I recall you are a nurse by training, so would be able to feel comfortable interpreting what they tell you.

I know little about radiation therapy, but know Stanford and a few other places (Stanford has the most experience) are using cyberknife for things other than brain tumors/mets, where it is of ultimate importance to have pinpoint accuracy of delivery of the SRS. I will try to later look up brachial plexus and radiation therapy (I am currently travelling) and see who might have written papers on it. Feel free to do so via ENTREZ PUBMED in the meantime.

Frank Vicini in Detroit seems also to be an expert on breast radiation, APBI. but you may need someone who is not necessarily a breast radiaiton expert

This may come up with radiation for sarcomas etc ie sparing the brachial plexus.

There may be no way to spare it since it is close if not involved, but perhaps IMRT or other techniques. There is no data to support using proton beam from what I looked up in the past, but this may have changed (lots of hype on proton beam, for which they charge huge amounts, but little data)

Is it the brachial plexus on your dominant (handed) side?

Since you are trying to irradiate near/at something which can suffer from the radiation therapy in a way that would affect your life (very rare for wbr, I don;t know the chances w radiation at/near it) I would certainly want to be sure they had the opportunity to think through all the options and choose the one they would want if it was their own problem!

Re: New Plan, New Chapter for progression
 

here are the first 50 under radiation brachial plexus(that is just from the last 3.25 years!, there are 510 articles total!:


Results: 1 to 50 of 510

1.
Radiation Dose to the Brachial Plexus in Head-and-Neck Intensity-Modulated Radiation Therapy and Its Relationship to Tumor and Nodal Stage.
Truong MT, Romesser PB, Qureshi MM, Kovalchuk N, Orlina L, Willins J.
Int J Radiat Oncol Biol Phys. 2012 Jan 31. [Epub ahead of print]
PMID: 22300574 [PubMed - as supplied by publisher]
Related citations

2.
Dose constraints to prevent radiation-induced brachial plexopathy in patients treated for lung cancer.
Amini A, Yang J, Williamson R, McBurney ML, Erasmus J Jr, Allen PK, Karhade M, Komaki R, Liao Z, Gomez D, Cox J, Dong L, Welsh J.
Int J Radiat Oncol Biol Phys. 2012 Mar 1;82(3):e391-8.
PMID: 22284035 [PubMed - in process]
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3.
Individualized Dose Prescription for Hypofractionation in Advanced Non-small-cell Lung Cancer Radiotherapy: An in silico Trial.
Hoffmann AL, Troost EG, Huizenga H, Kaanders JH, Bussink J.
Int J Radiat Oncol Biol Phys. 2012 Jan 13. [Epub ahead of print]
PMID: 22245206 [PubMed - as supplied by publisher]
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4.
Addition of a third field significantly increases dose to the brachial plexus for patients undergoing tangential whole-breast therapy after lumpectomy.
Stanic S, Mathai M, Mayadev JS, Do LV, Purdy JA, Chen AM.
Med Dosim. 2011 Sep 24. [Epub ahead of print]
PMID: 21945168 [PubMed - as supplied by publisher]
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5.
Synovial Sarcoma of the Brachial Plexus.
Pirouzmand F, Case Report K, Howarth D.
Neurosurgery. 2011 Jul 19. [Epub ahead of print]
PMID: 21778914 [PubMed - as supplied by publisher]
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6.
Median nerve changes following steroid injection for carpal tunnel syndrome.
Cartwright MS, White DL, Demar S, Wiesler ER, Sarlikiotis T, Chloros GD, Yoon JS, Won SJ, Molnar JA, Defranzo AJ, Walker FO.
Muscle Nerve. 2011 Jul;44(1):25-9. doi: 10.1002/mus.22067.
PMID: 21674517 [PubMed - indexed for MEDLINE]
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7.
Chemotherapy only for localized Hodgkin lymphoma.
Straus DJ.
J Intern Med. 2011 Sep;270(3):197-205. doi: 10.1111/j.1365-2796.2011.02410.x. Epub 2011 Jul 6. Review.
PMID: 21668822 [PubMed - indexed for MEDLINE]
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8.
Significance of magnetic resonance imaging in differential diagnosis of nontraumatic brachial plexopathy.
Perić S, Lavrnić S, Basta I, Damjanović D, Stosić-Opinćal T, Lavrnić D.
Vojnosanit Pregl. 2011 Apr;68(4):327-31.
PMID: 21627017 [PubMed - indexed for MEDLINE]
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9.
Validating the RTOG-Endorsed Brachial Plexus Contouring Atlas: An Evaluation of Reproducibility Among Patients Treated by Intensity-Modulated Radiotherapy for Head-and-Neck Cancer.
Yi SK, Hall WH, Mathai M, Dublin AB, Gupta V, Purdy JA, Chen AM.
Int J Radiat Oncol Biol Phys. 2012 Mar 1;82(3):1060-4. Epub 2011 Apr 30.
PMID: 21536393 [PubMed - in process]
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10.
Malignant brachial plexopathy: A pictorial essay of MRI findings.
Iyer VR, Sanghvi DA, Merchant N.
Indian J Radiol Imaging. 2010 Nov;20(4):274-8.
PMID: 21423902 [PubMed] Free PMC Article
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11.
Charcot-Marie-Tooth disease subtypes and genetic testing strategies.
Saporta AS, Sottile SL, Miller LJ, Feely SM, Siskind CE, Shy ME.
Ann Neurol. 2011 Jan;69(1):22-33. doi: 10.1002/ana.22166.
PMID: 21280073 [PubMed - indexed for MEDLINE] Free PMC Article
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12.
Exclusive alternating chemotherapy and radiotherapy in nonmetastatic inflammatory breast cancer: 20 years of follow-up.
Bourgier C, Pessoa EL, Dunant A, Heymann S, Spielmann M, Uzan C, Mathieu MC, Arriagada R, Marsiglia H.
Int J Radiat Oncol Biol Phys. 2012 Feb 1;82(2):690-5. Epub 2011 Jan 27.
PMID: 21277101 [PubMed - in process]
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13.
Severe stridor and marked respiratory difficulty after right-sided supraclavicular brachial plexus block.
Solanki SL, Jain A, Makkar JK, Nikhar SA.
J Anesth. 2011 Apr;25(2):305-7. Epub 2011 Jan 7.
PMID: 21212990 [PubMed - indexed for MEDLINE]
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14.
Hypofractionated radiotherapy in the treatment of early breast cancer.
Plataniotis G.
World J Radiol. 2010 Jun 28;2(6):197-202.
PMID: 21160631 [PubMed] Free PMC Article
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15.
[Breast cancer with axillary lymph node involvement].
Belaid A, Kanoun S, Kallel A, Ghorbel I, Azoury F, Heymann S, Pichenot C, Verstraet R, Marsiglia H, Bourgier C.
Cancer Radiother. 2010 Nov;14 Suppl 1:S136-46. Review. French.
PMID: 21129656 [PubMed - indexed for MEDLINE]
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16.
Brachioradial pruritus: a follow-up of 76 patients.
Veien NK, Laurberg G.
Acta Derm Venereol. 2011 Mar;91(2):183-5. No abstract available.
PMID: 21103840 [PubMed - indexed for MEDLINE] Free Article
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17.
Managing supraclavicular disease from breast cancer with brachial plexus-sparing techniques using helical tomotherapy.
Chatterjee S, Lee D, Kent N, Wintle T, Mott JH, Kelly CG, Branson AN.
Clin Oncol (R Coll Radiol). 2011 Mar;23(2):101-7. Epub 2010 Nov 5.
PMID: 21055911 [PubMed - indexed for MEDLINE]
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18.
Treating frozen shoulder with ultrasound-guided pulsed mode radiofrequency lesioning of the suprascapular nerve: two cases.
Huang CC, Tsao SL, Cheng CY, Hsin MT, Chen CM.
Pain Med. 2010 Dec;11(12):1837-40. doi: 10.1111/j.1526-4637.2010.00970.x. Epub 2010 Oct 28.
PMID: 21040432 [PubMed - indexed for MEDLINE]
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19.
Consideration of dose limits for organs at risk of thoracic radiotherapy: atlas for lung, proximal bronchial tree, esophagus, spinal cord, ribs, and brachial plexus.
Kong FM, Ritter T, Quint DJ, Senan S, Gaspar LE, Komaki RU, Hurkmans CW, Timmerman R, Bezjak A, Bradley JD, Movsas B, Marsh L, Okunieff P, Choy H, Curran WJ Jr.
Int J Radiat Oncol Biol Phys. 2011 Dec 1;81(5):1442-57. Epub 2010 Oct 8.
PMID: 20934273 [PubMed - in process]
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20.
Intensity-modulated radiotherapy increases dose to the brachial plexus compared with conventional radiotherapy for head and neck cancer.
Chen AM, Hall WH, Li BQ, Guiou M, Wright C, Mathai M, Dublin A, Purdy JA.
Br J Radiol. 2011 Jan;84(997):58-63. Epub 2010 Sep 21.
PMID: 20858665 [PubMed - indexed for MEDLINE]
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21.
Bilateral phrenic nerve dysfunction: a late complication of mantle radiation.
Avila EK, Goenka A, Fontenla S.
J Neurooncol. 2011 Jun;103(2):393-5. Epub 2010 Sep 14.
PMID: 20838851 [PubMed - indexed for MEDLINE]
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22.
Brachial plexopathy after chemoradiotherapy for head and neck squamous cell carcinoma.
Platteaux N, Dirix P, Hermans R, Nuyts S.
Strahlenther Onkol. 2010 Sep;186(9):517-20. Epub 2010 Aug 30.
PMID: 20814659 [PubMed - indexed for MEDLINE]
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23.
Serotonin and its metabolism in basal deuterostomes: insights from Strongylocentrotus purpuratus and Xenoturbella bocki.
Squires LN, Rubakhin SS, Wadhams AA, Talbot KN, Nakano H, Moroz LL, Sweedler JV.
J Exp Biol. 2010 Aug 1;213(Pt 15):2647-54.
PMID: 20639426 [PubMed - indexed for MEDLINE] Free PMC Article
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24.
Brachial plexus contouring with CT and MR imaging in radiation therapy planning for head and neck cancer.
Truong MT, Nadgir RN, Hirsch AE, Subramaniam RM, Wang JW, Wu R, Khandekar M, Nawaz AO, Sakai O.
Radiographics. 2010 Jul-Aug;30(4):1095-103.
PMID: 20631370 [PubMed - indexed for MEDLINE] Free Article
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25.
Proton stereotactic body radiation therapy for clinically challenging cases of centrally and superiorly located stage I non-small-cell lung cancer.
Register SP, Zhang X, Mohan R, Chang JY.
Int J Radiat Oncol Biol Phys. 2011 Jul 15;80(4):1015-22. Epub 2010 Jul 7.
PMID: 20615629 [PubMed - indexed for MEDLINE]
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26.
[Normal tissue tolerance to external beam radiation therapy: peripheral nerves].
Henriques de Figueiredo B, Huchet A, Dejean C, Mamou N, Sargos P, Loiseau H, Kantor G.
Cancer Radiother. 2010 Jul;14(4-5):405-10. Epub 2010 Jun 30. French.
PMID: 20580590 [PubMed - indexed for MEDLINE]
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27.
Neurologic manifestations of neoplastic and radiation-induced plexopathies.
Jaeckle KA.
Semin Neurol. 2010 Jul;30(3):254-62. Epub 2010 Jun 24.
PMID: 20577932 [PubMed - indexed for MEDLINE]
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28.
Respiratory organ motion and dosimetric impact on breast and nodal irradiation.
Qi XS, White J, Rabinovitch R, Merrell K, Sood A, Bauer A, Wilson JF, Miften M, Li XA.
Int J Radiat Oncol Biol Phys. 2010 Oct 1;78(2):609-17. Epub 2010 May 14.
PMID: 20472366 [PubMed - indexed for MEDLINE]
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29.
MRI of the brachial plexus: a pictorial review.
van Es HW, Bollen TL, van Heesewijk HP.
Eur J Radiol. 2010 May;74(2):391-402. Epub 2010 Mar 11. Review.
PMID: 20226609 [PubMed - indexed for MEDLINE]
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30.
The role of laser biostimulation in early post-surgery rehabilitation and its effect on wound healing.
Krynicka I, Rutowski R, Staniszewska-Kuś J, Fugiel J, Zaleski A.
Ortop Traumatol Rehabil. 2010 Jan-Feb;12(1):67-79.
PMID: 20203347 [PubMed - indexed for MEDLINE]
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31.
Neurotoxicity of radiation therapy.
Dropcho EJ.
Neurol Clin. 2010 Feb;28(1):217-34. Review.
PMID: 19932383 [PubMed - indexed for MEDLINE]
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32.
Chemoembolization facilitates limb salvage surgery in stage III soft tissue sarcoma.
Papanastassiou I, Ioannou M, Magoulas D, Lalos S, Athanassiou AE, Ziras N, Thanopoulou E, Demertzis N.
J BUON. 2009 Jul-Sep;14(3):507-10.
PMID: 19810146 [PubMed - indexed for MEDLINE]
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33.
Stereotactic body radiation therapy for early-stage non-small-cell lung cancer: the pattern of failure is distant.
Bradley JD, El Naqa I, Drzymala RE, Trovo M, Jones G, Denning MD.
Int J Radiat Oncol Biol Phys. 2010 Jul 15;77(4):1146-50. Epub 2009 Sep 30.
PMID: 19800181 [PubMed - indexed for MEDLINE]
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34.
On the feasibility of imaging peripheral nerves using acoustic radiation force impulse imaging.
Palmeri ML, Dahl JJ, MacLeod DB, Grant SA, Nightingale KR.
Ultrason Imaging. 2009 Jul;31(3):172-82.
PMID: 19771960 [PubMed - indexed for MEDLINE] Free PMC Article
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35.
Radiation techniques and toxicities for locally advanced breast cancer.
Moran MS, Haffty BG.
Semin Radiat Oncol. 2009 Oct;19(4):244-55. Review.
PMID: 19732689 [PubMed - indexed for MEDLINE]
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36.
Chapter 25: Phototherapy in peripheral nerve injury: effects on muscle preservation and nerve regeneration.
Rochkind S, Geuna S, Shainberg A.
Int Rev Neurobiol. 2009;87:445-64. Review.
PMID: 19682654 [PubMed - indexed for MEDLINE]
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37.
Magnetic resonance neurography for the evaluation of peripheral nerve, brachial plexus, and nerve root disorders.
Du R, Auguste KI, Chin CT, Engstrom JW, Weinstein PR.
J Neurosurg. 2010 Feb;112(2):362-71.
PMID: 19663545 [PubMed - indexed for MEDLINE]
Related citations

38.
[Definition of nodal volumes in breast cancer treatment and segmentation guidelines].
Kirova YM, Castro Pena P, Dendale R, Campana F, Bollet MA, Fournier-Bidoz N, Fourquet A.
J Radiol. 2009 Jun;90(6):747-51. French.
PMID: 19623131 [PubMed - indexed for MEDLINE] Free Article
Related citations

39.
Effective treatment of the brachial plexus syndrome in breast cancer patients by early detection and control of loco-regional metastases with radiation or systemic therapy.
Kamenova B, Braverman AS, Schwartz M, Sohn C, Lange C, Efiom-Ekaha D, Rotman M, Yoon H.
Int J Clin Oncol. 2009 Jun;14(3):219-24. Epub 2009 Jul 11.
PMID: 19593613 [PubMed - indexed for MEDLINE]
Related citations

40.
Hypofractionation in radiotherapy. An investigation of injured Swedish women, treated for cancer of the breast.
Friberg S, Rudén BI.
Acta Oncol. 2009;48(6):822-31.
PMID: 19504371 [PubMed - indexed for MEDLINE]
Related citations

41.
Brachial plexopathy from stereotactic body radiotherapy in early-stage NSCLC: dose-limiting toxicity in apical tumor sites.
Forquer JA, Fakiris AJ, Timmerman RD, Lo SS, Perkins SM, McGarry RC, Johnstone PA.
Radiother Oncol. 2009 Dec;93(3):408-13. Epub 2009 May 18.
PMID: 19454366 [PubMed - indexed for MEDLINE]
Related citations

42.
Intraoperative high-dose-rate brachytherapy--a novel technique in the surgical management of axillary recurrence.
Chadha M, Mehta P, Feldman S, Boolbol SK, Harrison LB.
Breast J. 2009 Mar-Apr;15(2):140-5.
PMID: 19292799 [PubMed - indexed for MEDLINE]
Related citations

43.
Anatomical, clinical and radiological delineation of target volumes in breast cancer radiotherapy planning: individual variability, questions and answers.
Castro Pena P, Kirova YM, Campana F, Dendale R, Bollet MA, Fournier-Bidoz N, Fourquet A.
Br J Radiol. 2009 Jul;82(979):595-9. Epub 2009 Mar 2.
PMID: 19255114 [PubMed - indexed for MEDLINE] Free Article
Related citations

44.
[The depiction of the cubital segment of the ulnar nerve by high resolution sonography--is it a helpful diagnostic tool for the assessment of the cubital tunnel syndrome?].
Gruber H, Peer S.
Handchir Mikrochir Plast Chir. 2009 Feb;41(1):13-7. Epub 2009 Feb 17. Review. German.
PMID: 19224416 [PubMed - indexed for MEDLINE]
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45.
Partial ulnar nerve transfer to the nerve to the biceps for the treatment of brachial plexopathy in metastatic breast carcinoma: case report.
Wong M, Tang AL, Umapathi T.
J Hand Surg Am. 2009 Jan;34(1):79-82.
PMID: 19121733 [PubMed - indexed for MEDLINE]
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46.
Isodose-based methodology for minimizing the morbidity and mortality of thoracic hypofractionated radiotherapy.
Gay HA, Sibata CH, Allison RR, Jeremic B.
Radiother Oncol. 2009 Jun;91(3):369-78. Epub 2008 Dec 6. Review.
PMID: 19058867 [PubMed - indexed for MEDLINE]
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47.
Carpal tunnel syndrome treated with a diode laser: a controlled treatment of the transverse carpal ligament.
Chang WD, Wu JH, Jiang JA, Yeh CY, Tsai CT.
Photomed Laser Surg. 2008 Dec;26(6):551-7.
PMID: 19025407 [PubMed - indexed for MEDLINE]
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48.
Impulse propagation along thalamocortical fibers can be detected magnetically outside the human brain.
Kimura T, Ozaki I, Hashimoto I.
J Neurosci. 2008 Nov 19;28(47):12535-8.
PMID: 19020045 [PubMed - indexed for MEDLINE] Free Article
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49.
Stereotactic body radiation therapy in centrally and superiorly located stage I or isolated recurrent non-small-cell lung cancer.
Chang JY, Balter PA, Dong L, Yang Q, Liao Z, Jeter M, Bucci MK, McAleer MF, Mehran RJ, Roth JA, Komaki R.
Int J Radiat Oncol Biol Phys. 2008 Nov 15;72(4):967-71.
PMID: 18954709 [PubMed - indexed for MEDLINE]
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50.
Utility of somatosensory evoked potentials in chronic acquired demyelinating neuropathy.
Yiannikas C, Vucic S.
Muscle Nerve. 2008 Nov;38(5):1447-54.
PMID: 18932207 [PubMed - indexed for MEDLINE]
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Re: New Plan, New Chapter for progression
 

here are the first 50 of 372 when searching radiation therapy brachial plexus(perhaps a better search(:


Assessment of shoulder position variation and its impact on IMRT and VMAT doses for head and neck cancer.
Neubauer E, Dong L, Followill DS, Garden AS, Court LE, White RA, Kry SF.
Radiat Oncol. 2012 Feb 8;7(1):19. [Epub ahead of print]
PMID: 22316381 [PubMed - as supplied by publisher] Free Article
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2.
Radiation Dose to the Brachial Plexus in Head-and-Neck Intensity-Modulated Radiation Therapy and Its Relationship to Tumor and Nodal Stage.
Truong MT, Romesser PB, Qureshi MM, Kovalchuk N, Orlina L, Willins J.
Int J Radiat Oncol Biol Phys. 2012 Jan 31. [Epub ahead of print]
PMID: 22300574 [PubMed - as supplied by publisher]
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3.
Dose constraints to prevent radiation-induced brachial plexopathy in patients treated for lung cancer.
Amini A, Yang J, Williamson R, McBurney ML, Erasmus J Jr, Allen PK, Karhade M, Komaki R, Liao Z, Gomez D, Cox J, Dong L, Welsh J.
Int J Radiat Oncol Biol Phys. 2012 Mar 1;82(3):e391-8.
PMID: 22284035 [PubMed - in process]
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4.
Individualized Dose Prescription for Hypofractionation in Advanced Non-small-cell Lung Cancer Radiotherapy: An in silico Trial.
Hoffmann AL, Troost EG, Huizenga H, Kaanders JH, Bussink J.
Int J Radiat Oncol Biol Phys. 2012 Jan 13. [Epub ahead of print]
PMID: 22245206 [PubMed - as supplied by publisher]
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5.
Neuromuscular complications.
Grisold W, Vass A.
Handb Clin Neurol. 2012;105:781-803.
PMID: 22230534 [PubMed - in process]
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6.
Addition of a third field significantly increases dose to the brachial plexus for patients undergoing tangential whole-breast therapy after lumpectomy.
Stanic S, Mathai M, Mayadev JS, Do LV, Purdy JA, Chen AM.
Med Dosim. 2011 Sep 24. [Epub ahead of print]
PMID: 21945168 [PubMed - as supplied by publisher]
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7.
Synovial Sarcoma of the Brachial Plexus.
Pirouzmand F, Case Report K, Howarth D.
Neurosurgery. 2011 Jul 19. [Epub ahead of print]
PMID: 21778914 [PubMed - as supplied by publisher]
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8.
[Screw arthrodesis of the shoulder].
Lerch S, Berndt T, Lipka W, Rühmann O.
Oper Orthop Traumatol. 2011 Jul;23(3):215-26. German.
PMID: 21751092 [PubMed - in process]
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9.
[Ultrasound-guided interscalene block in a patient with supraclavicular anatomical abnormalities due to radiotherapy and surgery].
Errando CL, Muñoz-Devesa L, Soldado MA.
Rev Esp Anestesiol Reanim. 2011 May;58(5):312-4. Spanish.
PMID: 21688510 [PubMed - indexed for MEDLINE]
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10.
Median nerve changes following steroid injection for carpal tunnel syndrome.
Cartwright MS, White DL, Demar S, Wiesler ER, Sarlikiotis T, Chloros GD, Yoon JS, Won SJ, Molnar JA, Defranzo AJ, Walker FO.
Muscle Nerve. 2011 Jul;44(1):25-9. doi: 10.1002/mus.22067.
PMID: 21674517 [PubMed - indexed for MEDLINE]
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11.
Chemotherapy only for localized Hodgkin lymphoma.
Straus DJ.
J Intern Med. 2011 Sep;270(3):197-205. doi: 10.1111/j.1365-2796.2011.02410.x. Epub 2011 Jul 6. Review.
PMID: 21668822 [PubMed - indexed for MEDLINE]
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12.
Validating the RTOG-Endorsed Brachial Plexus Contouring Atlas: An Evaluation of Reproducibility Among Patients Treated by Intensity-Modulated Radiotherapy for Head-and-Neck Cancer.
Yi SK, Hall WH, Mathai M, Dublin AB, Gupta V, Purdy JA, Chen AM.
Int J Radiat Oncol Biol Phys. 2012 Mar 1;82(3):1060-4. Epub 2011 Apr 30.
PMID: 21536393 [PubMed - in process]
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13.
Tardy spinal cord tumor following avulsive brachial plexus injury: coincidental or causal?
Hébert-Blouin MN, Bishop AT, Shin AY, Wetmore C, Spinner RJ.
World Neurosurg. 2010 Aug-Sep;74(2-3):368-73.
PMID: 21492572 [PubMed - indexed for MEDLINE]
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14.
Improved treatment of the breast and supraclavicular fossa based on a simple geometrical principle.
Yavetz D, Corn BW, Matceyevsky D, Ben-Josef R, Soyfer V, Bershtein I, Inbar M, Ron I, Jiveliouk I, Schifter D.
Med Dosim. 2011 Winter;36(4):434-9. Epub 2011 Mar 11.
PMID: 21397491 [PubMed - in process]
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15.
Phase I Study of Concurrent High-Dose Three-Dimensional Conformal Radiotherapy With Chemotherapy Using Cisplatin and Vinorelbine for Unresectable Stage III Non-Small-Cell Lung Cancer.
Sekine I, Sumi M, Ito Y, Horinouchi H, Nokihara H, Yamamoto N, Kunitoh H, Ohe Y, Kubota K, Tamura T.
Int J Radiat Oncol Biol Phys. 2012 Feb 1;82(2):953-9. Epub 2011 Mar 4.
PMID: 21377282 [PubMed - in process]
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16.
Intra-neural Ewing's sarcoma of the upper limb mimicking a peripheral nerve tumour. A report of 2 cases.
Mohan AT, Park DH, Jalgaonkar A, Alorjani M, Aston W, Briggs T.
J Plast Reconstr Aesthet Surg. 2011 Jun;64(6):e153-6. Epub 2011 Feb 17.
PMID: 21330228 [PubMed - indexed for MEDLINE]
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17.
Exclusive alternating chemotherapy and radiotherapy in nonmetastatic inflammatory breast cancer: 20 years of follow-up.
Bourgier C, Pessoa EL, Dunant A, Heymann S, Spielmann M, Uzan C, Mathieu MC, Arriagada R, Marsiglia H.
Int J Radiat Oncol Biol Phys. 2012 Feb 1;82(2):690-5. Epub 2011 Jan 27.
PMID: 21277101 [PubMed - in process]
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18.
Hypofractionated radiotherapy in the treatment of early breast cancer.
Plataniotis G.
World J Radiol. 2010 Jun 28;2(6):197-202.
PMID: 21160631 [PubMed] Free PMC Article
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19.
[Breast cancer with axillary lymph node involvement].
Belaid A, Kanoun S, Kallel A, Ghorbel I, Azoury F, Heymann S, Pichenot C, Verstraet R, Marsiglia H, Bourgier C.
Cancer Radiother. 2010 Nov;14 Suppl 1:S136-46. Review. French.
PMID: 21129656 [PubMed - indexed for MEDLINE]
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20.
Managing supraclavicular disease from breast cancer with brachial plexus-sparing techniques using helical tomotherapy.
Chatterjee S, Lee D, Kent N, Wintle T, Mott JH, Kelly CG, Branson AN.
Clin Oncol (R Coll Radiol). 2011 Mar;23(2):101-7. Epub 2010 Nov 5.
PMID: 21055911 [PubMed - indexed for MEDLINE]
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21.
Desmoplastic small round cell tumour successfully treated with caffeine-assisted chemotherapy: a case report and review of the literature.
Miwa S, Kitamura S, Shirai T, Hayashi K, Nishida H, Takeuchi A, Nojima T, Tsuchiya H.
Anticancer Res. 2010 Sep;30(9):3769-74. Review.
PMID: 20944167 [PubMed - indexed for MEDLINE]
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22.
Consideration of dose limits for organs at risk of thoracic radiotherapy: atlas for lung, proximal bronchial tree, esophagus, spinal cord, ribs, and brachial plexus.
Kong FM, Ritter T, Quint DJ, Senan S, Gaspar LE, Komaki RU, Hurkmans CW, Timmerman R, Bezjak A, Bradley JD, Movsas B, Marsh L, Okunieff P, Choy H, Curran WJ Jr.
Int J Radiat Oncol Biol Phys. 2011 Dec 1;81(5):1442-57. Epub 2010 Oct 8.
PMID: 20934273 [PubMed - in process]
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23.
Intensity-modulated radiotherapy increases dose to the brachial plexus compared with conventional radiotherapy for head and neck cancer.
Chen AM, Hall WH, Li BQ, Guiou M, Wright C, Mathai M, Dublin A, Purdy JA.
Br J Radiol. 2011 Jan;84(997):58-63. Epub 2010 Sep 21.
PMID: 20858665 [PubMed - indexed for MEDLINE]
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24.
Bilateral phrenic nerve dysfunction: a late complication of mantle radiation.
Avila EK, Goenka A, Fontenla S.
J Neurooncol. 2011 Jun;103(2):393-5. Epub 2010 Sep 14.
PMID: 20838851 [PubMed - indexed for MEDLINE]
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25.
Brachial plexopathy after chemoradiotherapy for head and neck squamous cell carcinoma.
Platteaux N, Dirix P, Hermans R, Nuyts S.
Strahlenther Onkol. 2010 Sep;186(9):517-20. Epub 2010 Aug 30.
PMID: 20814659 [PubMed - indexed for MEDLINE]
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26.
Brachial plexus contouring with CT and MR imaging in radiation therapy planning for head and neck cancer.
Truong MT, Nadgir RN, Hirsch AE, Subramaniam RM, Wang JW, Wu R, Khandekar M, Nawaz AO, Sakai O.
Radiographics. 2010 Jul-Aug;30(4):1095-103.
PMID: 20631370 [PubMed - indexed for MEDLINE] Free Article
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27.
Proton stereotactic body radiation therapy for clinically challenging cases of centrally and superiorly located stage I non-small-cell lung cancer.
Register SP, Zhang X, Mohan R, Chang JY.
Int J Radiat Oncol Biol Phys. 2011 Jul 15;80(4):1015-22. Epub 2010 Jul 7.
PMID: 20615629 [PubMed - indexed for MEDLINE]
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28.
[Normal tissue tolerance to external beam radiation therapy: peripheral nerves].
Henriques de Figueiredo B, Huchet A, Dejean C, Mamou N, Sargos P, Loiseau H, Kantor G.
Cancer Radiother. 2010 Jul;14(4-5):405-10. Epub 2010 Jun 30. French.
PMID: 20580590 [PubMed - indexed for MEDLINE]
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29.
Neurologic manifestations of neoplastic and radiation-induced plexopathies.
Jaeckle KA.
Semin Neurol. 2010 Jul;30(3):254-62. Epub 2010 Jun 24.
PMID: 20577932 [PubMed - indexed for MEDLINE]
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30.
Respiratory organ motion and dosimetric impact on breast and nodal irradiation.
Qi XS, White J, Rabinovitch R, Merrell K, Sood A, Bauer A, Wilson JF, Miften M, Li XA.
Int J Radiat Oncol Biol Phys. 2010 Oct 1;78(2):609-17. Epub 2010 May 14.
PMID: 20472366 [PubMed - indexed for MEDLINE]
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31.
Innovative treatment for huge nuchal desmoid tumour: a case report with a 2-year follow-up.
Lee YC, Lee JW.
J Plast Reconstr Aesthet Surg. 2010 Aug;63(8):e622-6. Epub 2010 Mar 20.
PMID: 20304713 [PubMed - indexed for MEDLINE]
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32.
The role of laser biostimulation in early post-surgery rehabilitation and its effect on wound healing.
Krynicka I, Rutowski R, Staniszewska-Kuś J, Fugiel J, Zaleski A.
Ortop Traumatol Rehabil. 2010 Jan-Feb;12(1):67-79.
PMID: 20203347 [PubMed - indexed for MEDLINE]
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33.
Long-term survival with decreased morbidity in the treatment of a malignant peripheral nerve sheath tumor.
Schultz B, McRae M, Narayan D.
Plast Reconstr Surg. 2010 Jan;125(1):23e-24e. No abstract available.
PMID: 20048586 [PubMed - indexed for MEDLINE]
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34.
Neurotoxicity of radiation therapy.
Dropcho EJ.
Neurol Clin. 2010 Feb;28(1):217-34. Review.
PMID: 19932383 [PubMed - indexed for MEDLINE]
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35.
Chemoembolization facilitates limb salvage surgery in stage III soft tissue sarcoma.
Papanastassiou I, Ioannou M, Magoulas D, Lalos S, Athanassiou AE, Ziras N, Thanopoulou E, Demertzis N.
J BUON. 2009 Jul-Sep;14(3):507-10.
PMID: 19810146 [PubMed - indexed for MEDLINE]
Related citations

36.
Stereotactic body radiation therapy for early-stage non-small-cell lung cancer: the pattern of failure is distant.
Bradley JD, El Naqa I, Drzymala RE, Trovo M, Jones G, Denning MD.
Int J Radiat Oncol Biol Phys. 2010 Jul 15;77(4):1146-50. Epub 2009 Sep 30.
PMID: 19800181 [PubMed - indexed for MEDLINE]
Related citations

37.
Radiation techniques and toxicities for locally advanced breast cancer.
Moran MS, Haffty BG.
Semin Radiat Oncol. 2009 Oct;19(4):244-55. Review.
PMID: 19732689 [PubMed - indexed for MEDLINE]
Related citations

38.
Magnetic resonance neurography for the evaluation of peripheral nerve, brachial plexus, and nerve root disorders.
Du R, Auguste KI, Chin CT, Engstrom JW, Weinstein PR.
J Neurosurg. 2010 Feb;112(2):362-71.
PMID: 19663545 [PubMed - indexed for MEDLINE]
Related citations

39.
[Definition of nodal volumes in breast cancer treatment and segmentation guidelines].
Kirova YM, Castro Pena P, Dendale R, Campana F, Bollet MA, Fournier-Bidoz N, Fourquet A.
J Radiol. 2009 Jun;90(6):747-51. French.
PMID: 19623131 [PubMed - indexed for MEDLINE] Free Article
Related citations

40.
Effective treatment of the brachial plexus syndrome in breast cancer patients by early detection and control of loco-regional metastases with radiation or systemic therapy.
Kamenova B, Braverman AS, Schwartz M, Sohn C, Lange C, Efiom-Ekaha D, Rotman M, Yoon H.
Int J Clin Oncol. 2009 Jun;14(3):219-24. Epub 2009 Jul 11.
PMID: 19593613 [PubMed - indexed for MEDLINE]
Related citations

41.
Hypofractionation in radiotherapy. An investigation of injured Swedish women, treated for cancer of the breast.
Friberg S, Rudén BI.
Acta Oncol. 2009;48(6):822-31.
PMID: 19504371 [PubMed - indexed for MEDLINE]
Related citations

42.
Brachial plexopathy from stereotactic body radiotherapy in early-stage NSCLC: dose-limiting toxicity in apical tumor sites.
Forquer JA, Fakiris AJ, Timmerman RD, Lo SS, Perkins SM, McGarry RC, Johnstone PA.
Radiother Oncol. 2009 Dec;93(3):408-13. Epub 2009 May 18.
PMID: 19454366 [PubMed - indexed for MEDLINE]
Related citations

43.
Neurolymphomatosis: a rare metastatic complication of diffuse large B-Cell lymphoma.
Chamberlain MC, Fink J.
J Neurooncol. 2009 Nov;95(2):285-8. Epub 2009 May 16.
PMID: 19448975 [PubMed - indexed for MEDLINE]
Related citations

44.
Intraoperative high-dose-rate brachytherapy--a novel technique in the surgical management of axillary recurrence.
Chadha M, Mehta P, Feldman S, Boolbol SK, Harrison LB.
Breast J. 2009 Mar-Apr;15(2):140-5.
PMID: 19292799 [PubMed - indexed for MEDLINE]
Related citations

45.
Surgical treatment of pathological fractures of the shaft of the humerus.
Sarahrudi K, Wolf H, Funovics P, Pajenda G, Hausmann JT, Vécsei V.
J Trauma. 2009 Mar;66(3):789-94.
PMID: 19276754 [PubMed - indexed for MEDLINE]
Related citations

46.
Anatomical, clinical and radiological delineation of target volumes in breast cancer radiotherapy planning: individual variability, questions and answers.
Castro Pena P, Kirova YM, Campana F, Dendale R, Bollet MA, Fournier-Bidoz N, Fourquet A.
Br J Radiol. 2009 Jul;82(979):595-9. Epub 2009 Mar 2.
PMID: 19255114 [PubMed - indexed for MEDLINE] Free Article
Related citations

47.
[The depiction of the cubital segment of the ulnar nerve by high resolution sonography--is it a helpful diagnostic tool for the assessment of the cubital tunnel syndrome?].
Gruber H, Peer S.
Handchir Mikrochir Plast Chir. 2009 Feb;41(1):13-7. Epub 2009 Feb 17. Review. German.
PMID: 19224416 [PubMed - indexed for MEDLINE]
Related citations

48.
Clinical reasoning: a 23-year-old woman with paresthesias and weakness.
Karam C, Khorsandi A, MacGowan DJ.
Neurology. 2009 Jan 13;72(2):e5-10. No abstract available.
PMID: 19139360 [PubMed - indexed for MEDLINE]
Related citations

49.
Malignant triton tumor of the brachial plexus invading the left thoracic inlet: a rare differential diagnosis of pancoast tumor.
Dartnell J, Pilling J, Ferner R, Cane P, Lang-Lazdunski L.
J Thorac Oncol. 2009 Jan;4(1):135-7.
PMID: 19096322 [PubMed - indexed for MEDLINE]
Related citations

50.
Isodose-based methodology for minimizing the morbidity and mortality of thoracic hypofractionated radiotherapy.
Gay HA, Sibata CH, Allison RR, Jeremic B.
Radiother Oncol. 2009 Jun;91(3):369-78. Epub 2008 Dec 6. Review.
PMID: 19058867 [PubMed - indexed for MEDLINE]
Related citations

Re: New Plan, New Chapter for progression
 

seven results of stereotactic radiation brachial plexus...now I have to go!

Consideration of dose limits for organs at risk of thoracic radiotherapy: atlas for lung, proximal bronchial tree, esophagus, spinal cord, ribs, and brachial plexus.
Kong FM, Ritter T, Quint DJ, Senan S, Gaspar LE, Komaki RU, Hurkmans CW, Timmerman R, Bezjak A, Bradley JD, Movsas B, Marsh L, Okunieff P, Choy H, Curran WJ Jr.
Int J Radiat Oncol Biol Phys. 2011 Dec 1;81(5):1442-57. Epub 2010 Oct 8.
PMID: 20934273 [PubMed - in process]
Related citations

2.
Proton stereotactic body radiation therapy for clinically challenging cases of centrally and superiorly located stage I non-small-cell lung cancer.
Register SP, Zhang X, Mohan R, Chang JY.
Int J Radiat Oncol Biol Phys. 2011 Jul 15;80(4):1015-22. Epub 2010 Jul 7.
PMID: 20615629 [PubMed - indexed for MEDLINE]
Related citations

3.
Stereotactic body radiation therapy for early-stage non-small-cell lung cancer: the pattern of failure is distant.
Bradley JD, El Naqa I, Drzymala RE, Trovo M, Jones G, Denning MD.
Int J Radiat Oncol Biol Phys. 2010 Jul 15;77(4):1146-50. Epub 2009 Sep 30.
PMID: 19800181 [PubMed - indexed for MEDLINE]
Related citations

4.
Brachial plexopathy from stereotactic body radiotherapy in early-stage NSCLC: dose-limiting toxicity in apical tumor sites.
Forquer JA, Fakiris AJ, Timmerman RD, Lo SS, Perkins SM, McGarry RC, Johnstone PA.
Radiother Oncol. 2009 Dec;93(3):408-13. Epub 2009 May 18.
PMID: 19454366 [PubMed - indexed for MEDLINE]
Related citations

5.
Stereotactic body radiation therapy in centrally and superiorly located stage I or isolated recurrent non-small-cell lung cancer.
Chang JY, Balter PA, Dong L, Yang Q, Liao Z, Jeter M, Bucci MK, McAleer MF, Mehran RJ, Roth JA, Komaki R.
Int J Radiat Oncol Biol Phys. 2008 Nov 15;72(4):967-71.
PMID: 18954709 [PubMed - indexed for MEDLINE]
Related citations

6.
Motor cortex stimulation for neuropathic pain.
Lazorthes Y, Sol JC, Fowo S, Roux FE, Verdié JC.
Acta Neurochir Suppl. 2007;97(Pt 2):37-44. Review.
PMID: 17691287 [PubMed - indexed for MEDLINE]
Related citations

7.
Dorsal root entry zone lesions for treatment of pain-related to radiation-induced plexopathy.
Teixeira MJ, Fonoff ET, Montenegro MC.
Spine (Phila Pa 1976). 2007 May 1;32(10):E316-9.
PMID: 17471080 [PubMed - indexed for MEDLINE]
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Re: New Plan, New Chapter for progression
 

First thank you all for the offers of support, rides, dog sitting...what an amazing group...wish I could hug each and everyone of you in person.

I had the "mapping" done Thursday...I did not realize they make a mask out of mesh that is warm, then cools as they shape it and mold it tightly to your head, neck and upper chest....it ends up being a hard shell cast that I will wear each time and it is bolted down to the table.

I was also marked and a bolus pad placed for a sub pectoral node they want to blast. I will be receiving Tomo Radiation....which is done in slices to deliver a precise dose. They said this is due to the brachial plexus and the structures in the neck. I was tattooed and will begin the radiation on the 20th for 7 weeks, 5 times a week.

Lani, this may define more on the radiation type and area of my neck it will be.

http://youtu.be/moIZuPEzOIw

http://youtu.be/W_ClcBF6a0I


I got to make an unexpected trip to Chicago again Friday with my little grandaughter Jasmine as her rod in her spine broke again from an incident on the school bus....she had to go to Shriners in Chicago, and will be having 2 new rods placed in her final surgery after she gets clearance and a picc line placed at Childrens in Chicago....sometimes you have to wonder why everything happens at once!

Re: New Plan, New Chapter for progression
 

Sheila,

I had the same mask procedure when my brain was zapped with IMRT targeted radiation. You will get rid of those neck nodes with some zaps. Thanks for the link about the Tomo radiation.

Jasmine is as strong as you are and she will come through! Praying for both of you.

Joan

Re: New Plan, New Chapter for progression
 

Congratulations on meeting your first set of goals, you are certainly remarkable! I hope you reach your next goals, and I know those beautiful dogs are wagging their tails in hope. Why do you have to go so far for treatment? I wouldn't like that either, I hate long trips. I have to go to San Francisco in March for a follow-up with my UCSF surgeon and I"m dreading it. It's 100 miles.

I hope you can work something out that is easy on you and enjoy the next ten, twenty and thirty years!