I urgently ask for your advice, experience or input regarding what my mom Should do. She is 60 y. And very fresh in body and mind.
She was dx with nsclc ardenocarcinoma Dec 12 2012 with mets to lymf, liver, brain. She had surgery early feb. Where she had a large tumor in the brain surgically removed. The 9 other mets she has in the brain are tiny, but they where not there in Dec. So they have progressed over the last two months... They are spread in various locations in the brain, 1 of them relatively close to the hippocampus.
I asked about hippocampus sparring but there is no hospital in denmark using the needed technology - linac based IMRT or helical tomotherapy. With the available technical wbr equipment, the hospital could avoid hippocampus but only if they would avoid quite a big surrounding area of the hippocampus... but one of the mets is in that exact avoidance zone..! So, not really an option...
The original plan was to do 30 GY over ten treatmens, but the doctor I spoke with today now suggest 30GY but spread over 18 tretaments over a 4 weeks span. In this way, he can lower the dose a bit given to the hippocampus.
My questions and concerns;
Is 30 GY spread over 18 treatments less or more efficient than 10 treatments or is the effectiveness the same?
She just only started chemo two weeks ago, carbo and vinorelbine, but now she has stopped treatment because she is advised not to take chemo while she is given wbr.
How Will it effect her lung cancer not having chemo for another month??
Why is chemo not advised during radiation?
She is overall doing well, no symptoms from the brain mets. Aft she started chemo two weeks ago she has been caughing sooo badly and with a lot of pflegm. Good or bad sign???
Oh, I really hope you can help me with my concerns. Just want to choose whats best for mom and with the highest likelihood of getting through this alive!