My story...and Radiation therapy |
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01/29/2011 01:24
LubaM.
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01/29/2011 01:24
LubaM.
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Re: My story...and Radiation therapy
JHurst: Also, I spoke with my sister in law at VCU today. She is a nurse with at least 30 yrs experience in the Liver transplant area. She told me there is a drug that is being tested for Dupuytren's, though it has not been approved with the FDA. First I had heard of this, but it bears watching for those only now becoming aware of this issue. I know of no other information on it though.
A new drug being tested for Dupuytren's? .... would your sister be talking about Xiaflex? Xiaflex was approved by the FDA at the beginning of 2010, and has been used by many on this forum...
If a new drug is being tested, we would all love to hear about it.
Edited 01/29/11 03:25
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01/30/2011 11:06
Larry
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01/30/2011 11:06
Larry
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Re: My story...and Radiation therapy for RECURRENT DISEASE
Dr. Weiss is from Germany and she knows the German treatment concept! It is important to document where progression occurs after radiotherapy - often its on the edge or even outside the irradiated areas, because RT is often tailored too tight around VISIBLE NODULES and not addressed to the total area of PALPABLE DISEASE (which may not be visible) ...
I know this from my own treatment, when I was surprised how large my RT portals were chosen by Prof. Seegenschmiedt, however he explained me the "iceberg" concept where 10 - 20% of the disease is overt to yourself but with careful palpatory examination a much larger area is detected.
So Iwould opt for RE-TREATMENT with RADIOTHERAPY if fields were too tight and new nodules are discovered outside, but DO NOT RETREAT the former areas ! Larry
Edited 01/30/11 13:07
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01/30/2011 13:36
David26not registered
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01/30/2011 13:36
David26not registered
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Re: new drug
JHurst: She told me there is a drug that is being tested for Dupuytren's, though it has not been approved with the FDA. First I had heard of this, but it bears watching for those only now becoming aware of this issue. I know of no other information on it though.
I think many of us read extensively on DD and there is nothing new out there I am aware of.
Like Luba, I'm pretty sure she is referring to Xiaflex. The only other thing I can think of is tamoxifen (anti-estrogen) for aggressive/recurrent DD.
Wolfgang has some info on it here http://www.dupuytren-online.info/dupuytr...s_research.html
newman linked this from Prof. Ilse Degreef who received the Dupuytren Society award for 2010 http://www.techcast.com/events/dgh-kongress/do03/
Dr. Eaton is excited about tamoxifen here (at the bottom of the story) http://www.aaos.org/news/aaosnow/oct10/clinical2.asp
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01/31/2011 04:29
flojo
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01/31/2011 04:29
flojo
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Re: My story...and Radiation therapy
Thanks, David.
I'm gonna check these articles out.
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02/01/2011 07:37
LubaM.
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02/01/2011 07:37
LubaM.
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Re: My story...and Radiation therapy
David, Good articles... it would be interesting if there was a study on topical Tamoxifen...
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02/01/2011 08:06
Larry
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02/01/2011 08:06
Larry
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Be careful: TAMOXIFEN and possible side effects ...
Just to make you all aware of systemic side effects of TAMOXIFEN which is often used in the additional hormonal treatment of breast cancer ...
TAMOXIFEN may cause serious side effects, including blood clots, stroke, and endometrial cancer. If one is considering to use tamoxifen as part of your treatment plan, you should take into account that smoking or a history of blood clots or heart attack is a highly risky aspect when using TAMOXIFEN.
Some of the critical symptoms are:
* abnormal vaginal bleeding or discharge * pain or pressure in the pelvis * leg swelling or tenderness * chest pain * shortness of breath * weakness, tingling, or numbness in your face, arm, or leg * sudden difficulty seeing * dizziness * sudden severe headache
The most common side effects of TAMOXIFEN are:
* fatigue * hot flashes * night sweats * vaginal discharge * mood swings
Hot flashes or night sweats from taking TAMOXIFEN can be very troublesome. A Study from Great Britain (2008) suggested that women who experienced hot flashes and night sweats while taking hormonal therapy medicine were less likely to develop or have the breast cancer come back (recur).
As a benefit, TAMOXIFEN can improve bone density, which reduces the risk of loss of bone while aging ("osteoporosis").
Larry
Edited 02/01/11 10:07
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02/01/2011 16:40
LubaM.
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02/01/2011 16:40
LubaM.
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Re: My story...and Radiation therapy
Thanks Larry...
I was referring to "topical" tamoxifen... is there any data on side effects for the "topical" drug that you know of?
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02/02/2011 16:32
JHurst
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02/02/2011 16:32
JHurst
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Re: My story...and Radiation therapy
Larry,
Thank you for this information!
Did not mean to cause a ruckus with respect to the new drug thing, it is most likely the Xiaflex but I can only guess. My sister in law did not know the name.
Hopefully my RT treatment will have gotten the whole iceberg.... I don't want to do it again. I actually kind of asked to widen the area that was being treated, but Dr. Weiss felt it wasn't wise to treat an area that doesn't have any observable nodule (or the ability to feel a nodule). I have complete confidence in her. And I've chosen to take a positive attitude and hope the situation has been resolved! Unless and until there is clear indication to the contrary. I genuinely believe the mind can provide a powerful antidote to something like this.
For now at least, I can still play, and more importantly, improve my playing. This represents an improvement over where I was when I sought treatment, so I will keep my fingers crossed.
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