Author Topic: Re Growth - Radiation experiences or advice please :)  (Read 3245 times)

cpollard

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Re Growth - Radiation experiences or advice please :)
« on: July 03, 2013, 01:37:41 am »
Hi all :)

Its been awhile since ive posted - I had a 4cm one mostly removed approx 7 years ago - the last smiggen left was / is on my facial nerve - it went from being rated the worse (the left side of my face) 5+ I think to pretty darn good these days considering - approx 2.5 years ago an MRI showed small growth but in my recent trip back to NZ I had a scan & low and behold its grown heaps (explains headaches and what not) . Now I had my scan then went straight to the specialist so im still waiting on exacts as he regroups etc but radiation was his suggestion since my face is improved so much (my surgery was 15 hours and still haunts him I think - lol) :) My number 1 big question - will radiation kill it for good? approx how many weeks is usually required & will it affect my facial nerve ? any insight will be great - ill have to travel from Australia to NZ (family support etc to look after my kids) hence how long will it take ? :)   
underwent surgery in 2003 for 4cm sized one - currently being monitored for the bit left remaining as its started to bloom again

gremmie

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Re: Re Growth - Radiation experiences or advice please :)
« Reply #1 on: July 04, 2013, 07:22:08 am »
CPollard,

Sorry to hear after all these years growth has returned...

1) Radiation whether fractionated or single dose does not necessarily mean killing it.  Tumors respond differently but there is no "guarantee" that radiation is successful 100% of the time.  I believe the current stats are that 92% of the cases radiated are successful in controlling growth.  The goal of radiation is to arrest the size with the hopes of it becoming necrotic or dead as you suggest.  One would hope that if radiation is successful, ultimately shrinkage would occur.

2)  As mentioned above, radiation is considered either single dose or fractionated.  Single dose is done in one session usually one day...fractionated is lower amounts of radiation performed over a period of time. (days or weeks)...

As with regular surgical approach, radiation can affect the facial nerve.  Again, just because there is radiation involved there are the same factors to be considered as is with the surgical approach.

Based on the information you provided single dose radiation might be your answer.  As with any surgical approach, finding the facility that has performed radiation on AN's is the key.

Keep us posted on your decision!


Gremmie

 SRS 12/27/13 3mmx5mm.
diagnosed 5mm AN, radiated 12/27/12 SRS
Ct 3/27/13 11mm
Dizziness and balance issues

nftwoed

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Re: Re Growth - Radiation experiences or advice please :)
« Reply #2 on: July 08, 2013, 07:39:01 am »
Hello;
   At least you have something in your favor. Of the nerves involved with ANs, the facial nerve is the most resilient and is capable of regenerating, as is a motor nerve.
   Radiation is most like to stop tumor growth than eradicate the tumor, I believe. This is not to say the tumor cannot become necrotic and eventually implode.
   I would be looking for changes yet 2 - 3 years down the road in subsequent MRIs.
   Best wishes in this, cpollard!

cpollard

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Re: Re Growth - Radiation experiences or advice please :)
« Reply #3 on: July 09, 2013, 02:01:26 am »
Thank you for you replies :)

My specialist is away on leave (great timing - not - lol) so still haven't had a chance to talk about options. I appreciate the answers & info thank you :)

Good to hear the facial nerve is though - I guess I should know that since by the time I had my surgery my ear drum and balance nerve had been dissolved by the tumour but my facial nerve was hanging on by a thread - lol.

Im not sure about radiation but I guess its a good option - I don't like the part where it apparently can swell for up to 2 years after - yikes ... my headaches are bad enough as they are ...

any who - thanks again :)
underwent surgery in 2003 for 4cm sized one - currently being monitored for the bit left remaining as its started to bloom again

wind6

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Re: Re Growth - Radiation experiences or advice please :)
« Reply #4 on: July 13, 2013, 11:22:55 am »
I am glad I ran into this post. While I do not have any of your personal answers I do completely understand your fears. We are so alike. I had 13 hrs of surgery eight years ago. They discovered mine was growing on my facial nerve too. My left face was totally paralyzed but slowly recovered to nearly normal. I still have eye blink issues and the corner of my mouth has a slight droop. They discovered mine was re-growing about 6 months after surgery so, here I have been waiting and watching for eight years. My last MRI confirmed that treatment was needed again and I felt the same dilemma you feel now.
This time I researched and spoke to two different professionals. The second one asked me why I assume a second surgery would be less harmful than the first? He said that he has only seen GK that destroyed a facial nerve one time and that was from swelling. Anyway, his words made sense to me and since he was in fact a "neurosurgeon" and recommending another specialist instead also helped me decide to try GK.
I underwent the treatment last Wednesday. We began at 7:30am. At 1:30pm I walked two blocks in downtown Chicago to have lunch with my family! I admit the frame part was not fun but it isn't unbearable and they do make sure and use lots of numbing meds. I figure 15 minutes of discomfort by far out-weighs the days of pure misery I experienced with surgery.
I do understand that only time will tell how well this works for me but, I have already invested years of time. Here I am three days later...my eyes are swollen and sore, I am tired, my scalp is numb again, my tummy hurts from the steroids, but I am walking, talking, typing, eating normally, and have "so far" no new or worsening problems. I haven't even taken a Tylenol.
I wish you all the luck in the world with your decision and remember that you have a support team right here that can almost always help find whats right for you.
My best to you,
Sherry
2.5cm x 3.1cm facial nerve neuroma
removed 8-2-2005(retrosigmoid)
St.Johns Hospital-Springfield,Illinois
Dr.Michael McIlhany and Dr.Carol Bauer
Wait n' watch mode for 8 years.
Gamma Knife at Northwestern Memorial Hospital. Chicago,IL. Dr. James P. Chandler. July 10, 2013.

cpollard

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Re: Re Growth - Radiation experiences or advice please :)
« Reply #5 on: July 15, 2013, 01:07:19 am »
That brought tears to me eyes - just so similar - im very thankful for your info & kind words !!! im still waiting to hear from him but shouldn't be long now :) I wish your recovery comes along perfectly & you will be back to your self in no time - GK sounds AMAZING - I don't think I have that option as in NZ I think only one city has it available and its for very urgent cancer paitents etc - I could be wrong but ill def be asking!!!
underwent surgery in 2003 for 4cm sized one - currently being monitored for the bit left remaining as its started to bloom again