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Old 10-06-2015, 03:04 AM   #23
agness
Senior Member
 
Join Date: Aug 2014
Location: Seattle, WA
Posts: 285
Re: Compiling Data on HER2 Brain Mets

"A recent trial presented in the ASCO 2015 meeting has shown that whole brain radiation therapy did not improve the overall survival for those patients with a limited number of brain metastases, besides the fact it is related to a neurocognitive impairment."

"Although we tend to think of cerebral metastases as being multiple, approximately 50% are seemingly solitary at diagnosis and in a minority of cases no known or identifiable malignancy is present.4 They often occur at the grey-white matter junction or in the arterial watershed areas."

"Typically metastases are relatively well demarcated from the surrounding parenchyma and usually there is a zone of peritumoural oedema out of proportion with the tumour size."

"Parenchymal blood flow is an important determinant of the distribution of metastases: 80% of metastases localize to the cerebral hemispheres, 15% localize to the cerebellum and 3% localize to the basal ganglia.8 Often these tumours can be found at the gray/white matter junction."

Cerebral metastases [Radiopaedia]
http://radiopaedia.org/articles/cerebral-metastases
__________________
  • Dx 2/14 3b HER2+/HR- left breast, left axilla, internal mammary node (behind breast bone). Neoadjuvant TCHP 3/14-7/2. PCR 8/14 LX and SND. 10/21-12/9 Proton therapy to chest wall.
  • Dx 7/20/15 cerebellar met 3.5x5cm HER2+/HR-/GATA3+ 7/23/15 Craniotomy.
  • 7/29/15 bone scan clear. 8/3/15 PET clean scan. LINAC SRS (5 fractions) Sept 2015. 9/17/15 CSF NED, 9/24/15 CSF NED, 11/2/15 CSF NED.
  • 10/27/15 atypical uptake in right cerebellum - inflammation?
  • 12/1/15 Leptomeningeal dx. Starting IT Herceptin.
  • 1/16 - 16 fractions of tomotherapy to cerebellum, break of IT Herceptin during rads, resume at 100 mg weekly
  • 3/2016 - stable scan
  • 5/2016 stable scan
  • 7/2016 pseudoprogression?
  • 9/2016 more LM, start new chemo protocol and IV therapy treatment with HBOT
  • 11/2016 Cyberknife to temporal lobe, HBOT just prior
  • 12/2016 - lesions starting to show shrinkage
  • 8/2017 - Stable since Dec 2016. Temporal lobe lesion gone.
  • Using TCM, naturopathic oncology, physical therapy, chiro, massage, medical qigong, and energetic healing modalities in tandem. Stops at nothing.
  • Mother of 2 boys - ages 7 and 10 (8/2017) and a lovely partner with lots to live for.
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