回复 '霞' 的评论 : You whole heart (100%) can tolerate 40Gy (4000 cGy) dose, 67% of your hear can tolerate 45Gy, and 33% can tolerate 60Gy. If they design the plan to try to avoid as much heart as possible, you can still take a lot of dose to treat the bone with radiation.
Please don't force yourself to do physical exercise, if tumor spread to spine, your bones will be very brittle, you got to be very careful.
MoatCity 发表评论于
If your physical condition allows, you should start chemo therapy, which will be more effective in controlling the spread of the tumor to other areas. Radiation therapy can only help with local control, chemo therapy is more systemic. PET-CT scan is critical in finding out if the tumor has gone to other areas.
Reading your blog, feel you are an active, dynamic, energetic person. Sad to learn you got this. Is there a risk factor? Did you ever smoke? or there is a second hand smoke factor in the family? Job-related environment risk factor?
The side effect from radiation therapy is minimal, and way easier to tolerate than chemo therapy. You already had radiation (brain), and the treatment to spine would be much easier.
MoatCity 发表评论于
If the tumor has spread to spine, radiation therapy will be needed. MRI would be a better test to find out details (better imaging modality for bone metastasis). The best approach would be to have them prescribe a PET-CT for you. The PET-CT will find out all the areas in your body the tumor has spread to. That is a standard test in the whole systematic workout in the US. You mentioned Stage IV before, a PET-CT scan would be necessary.