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hannah,
Has your sister had a second opinion?? Without knowing why this doctor says more focalized radiation is not possible, I seriously question his opinion. One GammaK plus wbr does not seem to me to be the 'limit'.
To your question re: Herceptin. I have no idea. I have not been on Herceptin since I quit after it (combined with Navelbine) got me to NED of body over three years ago.
Your sisters brain mets are the crucial problematic mets at this time, imo. If her other mets are at least 'stable' and not life threatening, stopping the Herceptin is quite reasonable in order to address her brain mets.
I still encourage you to try for an 'emergency' second opinion......or get this doc to spell out WHY focalized rads are not possible. It is your sisters life, not his.
Has your sister responded to other chemos at all? For any length of time?? If her cancer is responsive to chemo, I think she may have some positive response with her brain mets to a combination similar, or the same, as I am on.
My hope was at the very least it would stablize my mets. So, my response of shrinkage is a huge bonus in my view.
I am not the only brain mets person to have multiple rad procedures for recurrant brain mets.... many who have also had wbr+ multiple focalized rads. So, this docs statement has me truly stumped/pissed off.
hugs to you and sis,
patty
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