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Joined: Jan 2015
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Joined: Jan 2015
Posts: 6
Hi everyone,

I was diagnosed with a scc on my upper lip in December, the ENT Dr's I saw prescribed interstitial brachytherapy or radical surgery as treatment.
I had the consultation with the radiotherapy Dr on Thursday about the brachytherapy.
I have found and read a reasonable amount of info on brachytherapy but would really like to hear from others who has had it.
They are proposing high dose brachytherapy administered 2 X a day through 2 catheters inserted into my lip and a week stay in hospital.
I have a PET scan on Tuesday as there are a couple of enlarged lymph nodes (hoping it's nothing) then I'm scheduled to go in for brachytherapy on Sunday 25th Jan
So anyone had brachytherapy?


SCC on top lip,
diagnosed 6th Dec 2014 recommend for high dose brachytherapy.
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Welcome to OCF. Im sorry you have the need for our group but this is the right place to be. In the US, brachytherapy is not the most common type of radiation treatment but we do have members who have done brachy. Im sure someone with brachy experience will come along and comment soon. Being in another country, treatment protocols may be different than what they are here in the US.

Best wishes!



Christine
SCC 6/15/07 L chk & by L molar both Stag I, age44
2x cispltn-35 IMRT end 9/27/07
-65 lbs in 2 mo, no caregvr
Clear PET 1/08
4/4/08 recur L chk Stag I
surg 4/16/08 clr marg
215 HBO dives
3/09 teeth out, trismus
7/2/09 recur, Stg IV
8/24/09 trach, ND, mandiblctmy
3wks medicly inducd coma
2 mo xtended hospital stay, ICU & burn unit
PICC line IV antibx 8 mo
10/4/10, 2/14/11 reconst surg
OC 3x in 3 years
very happy to be alive smile
Joined: Jan 2015
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Thanks Christine, seems to get used alot for prostate and breast cancer, still haven't found any personal experiences for it's use for oral although info that I've read says it gets used alot for oral cancer.
I will for sure post my experience as it may help someone else.


SCC on top lip,
diagnosed 6th Dec 2014 recommend for high dose brachytherapy.
Joined: Jul 2012
Posts: 3,267
Likes: 1
Patient Advocate (old timer, 2000 posts)
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Joined: Jul 2012
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Brachytherapy is actually over 100 years old. I had a newer form of Brachytherapy, your type is too, called, HIgh Dose Rate Intraopertive Radiation Therapy (HDR-IORT), twice, a year apart, to the cervical neck, which is done during surgery in a shielded OR, after maximum resection, which uses the same remoteafterloader device, some look like R2-D2, with iridium 192 radiation source, as HDR-Brachytherapy does, but differed in several ways. Mine was done with one high dose directly to the exposed tumor bed, as a radiation boost, which was followed by external beam radiation with IMRT, several weeks later. HDR-Brachtherapy can also be done as monthotherapy, or in addition too surgery and or with EBRT, and is usually done in several sessions in one or two days.

Good luck with everything, and look forward to your posts. Several other members here had brachytherapy also.


10/09 T1N2bM0 Tonsil
11/09 Taxo Cisp 5-FU, 6 Months Hosp
01/11 35 IMRT 70Gy 7 Wks
06/11 30 HBO
08/11 RND PNI
06/12 SND PNI LVI
08/12 RND Pec Flap IORT 12 Gy
10/12 25 IMRT 50Gy 6 Wks Taxo Erbitux
10/13 SND
10/13 TBO/Angiograph
10/13 RND Carotid Remove IORT 10Gy PNI
12/13 25 Protons 50Gy 6 Wks Carbo
11/14 All Teeth Extract 30 HBO
03/15 Sequestromy Buccal Flap ORN
09/16 Mandibulectomy Fib Flap Sternotomy
04/17 Regraft hypergranulation Donor Site
06/17 Heart Attack Stent
02/19 Finally Cancer Free Took 10 yrs






Joined: Jan 2015
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Posts: 6
Paul,
thankyou for your reply, did you have any side effects from it? And what about after?


SCC on top lip,
diagnosed 6th Dec 2014 recommend for high dose brachytherapy.
Joined: Jul 2012
Posts: 3,267
Likes: 1
Patient Advocate (old timer, 2000 posts)
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Joined: Jul 2012
Posts: 3,267
Likes: 1
It's difficult to say what the side effects were/are being it wasn't my first line of treatment, had prior radiation, and was done along with and already had other surgeries, so I'm sure all had an impact. As far as short term, immediately after, I would say it was minimal, compared to IMRT, but had swelling, redness for several weeks. All radiation treatments have short term toxicities, less than 3 months, and long term, more than 3 months.

Maybe this is some help.

http://www.cancer.gov/publications/patient-education/brachytherapy.pdf

http://www.radiologyinfo.org/en/pdf/brachy.pdf


10/09 T1N2bM0 Tonsil
11/09 Taxo Cisp 5-FU, 6 Months Hosp
01/11 35 IMRT 70Gy 7 Wks
06/11 30 HBO
08/11 RND PNI
06/12 SND PNI LVI
08/12 RND Pec Flap IORT 12 Gy
10/12 25 IMRT 50Gy 6 Wks Taxo Erbitux
10/13 SND
10/13 TBO/Angiograph
10/13 RND Carotid Remove IORT 10Gy PNI
12/13 25 Protons 50Gy 6 Wks Carbo
11/14 All Teeth Extract 30 HBO
03/15 Sequestromy Buccal Flap ORN
09/16 Mandibulectomy Fib Flap Sternotomy
04/17 Regraft hypergranulation Donor Site
06/17 Heart Attack Stent
02/19 Finally Cancer Free Took 10 yrs






Joined: Jan 2015
Posts: 6
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Joined: Jan 2015
Posts: 6
Thanks for the links . Just over a week to go, til I go in for treatment. (January 25th) My PET scan was clear thankfully , so no lymph nodes involved.
I will post with my experience.


SCC on top lip,
diagnosed 6th Dec 2014 recommend for high dose brachytherapy.

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