Author Topic: Post from Brisbane, Australia - CyberKnife  (Read 5291 times)

Maria

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Post from Brisbane, Australia - CyberKnife
« on: August 07, 2005, 11:23:58 pm »
Hello everyone,  my name is Maria and I live in Brisbane, Australia. 

4 - 5 years ago my darling husband, Gene, started to suffer hearing loss in his left ear.  He went to a specialist to have it checked out who told him that he must be suffering from industrial deafness and told him that he would have it forever. 

A year afterwards his hearing loss was considerable and he went to the local hospital for a second opinion.  Gene was diagnosed with an AN measuring 3cm in late August 2002. 

Three weeks later he was scheduled to have surgery to have it removed.  The doctors here stated that the translabyrinthine surgical approach was the best option as Gene's hearing had considerably deteriorated and that loosing the hearing from his left ear would be ok. 

On 27 September 2002 Gene had his surgery.  The surgery took 14 hours.  After surgery we were told that they did not remove all of the tumour it was through the facial nerve and the doctors preferred to preserve the facial nerve.

Three years on and three MRI scans later, we were told on Friday that the tumour is starting to grow again.  Given that the first surgery damaged Gene's facial nerve in any event, I am really angry that the doctors choose to leave some of the tumour because they "preferred" not to cut the facial nerve. 

Over the past three years, we have heard too many different stories from the doctors here in Australia.  One was that if they had removed the whole tumour and severed the facial nerve that they could have fixed it my removing a nerve from Gene's leg and attaching it to the cut nerve and that his facial nerve damage would be where it already is today, however we wouldn't have the agony of annual scans and waiting for results.  I apologise, I am just angry.  I love my husband with all my soul and I find my hands are tied with finding a better solution.

The options that have been given to us is for radiotherapy.  Apparently, we have to go to Sydney, Australia for this treatment.  The doctor has told us that there is a high chance that Gene will completely loose his facial nerve and that there is a 1/1000 chance that radiotherapy may turn the tumour from benign to cancerous.  We have also been told that there is only a 40/60 chance that the radiotherapy will stop the tumour growing, and that it does not in fact kill the tumour, only stops it from growing.  We would have to endure scans annually forever.

We have been told that if the radiotherapy does not stop the tumour from growing that Gene will need another operation and this time they will take the tumour and facial nerve.  Gene will be back worse than when he started from. Now they tell us that they would probably not be able to repair the facial nerve with another nerve as the tumour was attached to the brain stem and that it would not leave any room to stitch the new nerve.

I have read some posts about radiosurgery using the cyberknife method.  I am happy to fly to USA for Gene to have this procedure providing it works.  Is there anyone out there who has had this done, or can provide me with any advice as to where to go from here.  I am desperate for answers please help.

Thanks for reading.

Regards
Maria

PS(I am really happy that there are so many inspirational and happy stories on this website.  It really gives us a glimpse at some hope.)

Jsoule

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Re: Post from Brisbane, Australia - CyberKnife
« Reply #1 on: August 08, 2005, 08:21:14 am »
Hi Maria, I read your story and so sorry for all the problems you and your husband are having. May I suggest you calling the House Ear Institute in Los Angeles, California. They are a top notch facility that deals with AN's. If you call them one of the surgeons will call you back usually within 24 hours and go over your options with you. There number is 213-483-4431. I had surgery there and cant say enough about the whole facility and surgeons. I truly believe your husband would be in wonderful hands. Sincerely Julie

jamie

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Re: Post from Brisbane, Australia - CyberKnife
« Reply #2 on: August 08, 2005, 11:01:01 am »
Maria,
Cyberknife is different from radiotherapy, it is radiosurgery. It has a much higher success rate at stopping tumor growth, above 90%. Whether he has surgery or radiosurgery, follow-up MRI's will be recommended, as neither treatment guarantees anything. Check out this website, www.anarchive.org . It has alot of info you may find useful about the myths surrounding radiosurgery (malignancy, not for young people, etc.). I will be having cyberknife treatment in a couple weeks. Also, if you are interested in cyberknife, a good place to go to find out the next step is www.cyberknifesupport.org , you can get in touch with providers of cyberknife. Hope this helps.
« Last Edit: August 08, 2005, 11:09:47 am by jamie »
CyberKnife radiosurgery at Barrow Neurological Institute; 2.3 cm lower cranial nerve schwannoma

BG

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Re: Post from Brisbane, Australia - CyberKnife
« Reply #3 on: August 14, 2005, 11:52:33 pm »
Maria,hello,

In response to some of the information in your post, I was told by a specialist that the statistics are for 1 tumor in 10,000 of becoming malignant as a result of radiotherapy.  I also followed iamie's lead and looked up anarchive.org.  Here's what I found there:

(11/03) At Dr Gil Lederman's lecture on Sunday in Yarm (Cleveland, England) the question was asked about the possibility of malignancy as a result of having radiosurgery. Dr. Lederman told the meeting that there are now figures accepted in the medical profession as a whole (based on world wide experience) which give an actual occurance of one case in 33,000 treatments!


Best of luck!  BG


Larry

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Re: Post from Brisbane, Australia - CyberKnife
« Reply #4 on: September 19, 2005, 06:02:11 pm »
Maria,

I am in Sydney and have just read your story. I had an AN removed 3 years ago and it has reappeared. I have not experienced the extent of issues that your husband has but am still concerned. There are local options for you if you haven't done anything about it yet.

Firstly, the leading surgeon in Australia is Professor Fagan. He is in Sydney and can be contacted on 02 93805900. I am also seeing a Dr Smee at the Prince of Wales in Sydney re Sterotactic radiation treatment. This is similar to Gamma Knife as far as I can make out. I am happy for you to contact me at lpsher@optusnet.com.au for more information on this. I am seeing Dr Smee on the 22nd September to find out more about this treatment.

Larry
2.0cm AN removed Nov 2002.
Dr Chang St Vincents, Sydney
Australia. Regrowth discovered
Nov 2005. Watch and wait until 2010 when I had radiotherapy. 20% shrinkage and no change since - You beauty
Chronologer of the PBW
http://www.frappr.com/laz

CC

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Re: Post from Brisbane, Australia - CyberKnife
« Reply #5 on: September 28, 2005, 08:46:07 am »
Maria

I have sent some material on cyberknife to Larry who I understand is in e-mail contact with you.  Larry will forward my e-mail and the attachment to you.  I'm happy to correspond direct with you via that e-mail address.  I'm an Aussie living in Washington DC and like you I'm willing to travel to have the best treatment.  I've been seriously looking at Dr Chang's Stanford cyberknife practice.  Am happy to share any information I have with you.  If you're thinking of travelling I know that there's a direct flight from Brisbane to LA then it's a short flight to Oakland or San Francisco to get to Stanford.  Most hospitals have a some sort of arrangement with local hotels so you're not charged a bomb for a room.  Dr Chang does review your MRIs and audiograms and recommend a treatment regime.  You just have to mail them to his office.  Happy to provide e-mails, phone numbers and the address.  Dr Chang does both surgery and cyberknife on about a 50/50 basis.  I'm also consulting with the House Ear Clinic in LA for a comparative diagnosis.  Not really interested in surgery but to be thorough I need all the opinions.

Good luck and be in touch
CC
CC
3cm AN
CK Oct 05
with Dr Chang at Stanford