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Radiating an area that has been already radiated with 30 greys...
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07/04/2012 00:55
musician42 
07/04/2012 00:55
musician42 
Radiating an area that has been already radiated with 30 greys...

Hello!

I have been a lurker for a while, but was diagnosed with DC in March after noticing a bump that popped up on my hand in mid Feb. My Dad has DC in both hands, I'm a musician in a top symphony in the nation (regular tours to carnegie, european tours, etc) and so am geared to any anomalies with my hand. I had hope that this would only affect me later in life (ie after 55) but alas, it has not as I am 36, and it is aggressive. I received my first radiation treatments on the nodule literally a month and a half from the time the nodule first popped up (this after visiting 2 hand specialist with one saying i should accept my career will be over and to become a yoga instructor... after a hand surgery of course). Unfortunately, in this short time a cord had already developed from the ring finger to the base of my thumb. The main nodule on my ring finger is not a bumb any more, but had expanded between the 6 weeks between the first and 2nd treatments... oh well, nothing more can be done for that finger.

However, and to come to my question, they radiated a pretty large section of my hand. Well a new bump has started on my middle finger just on the fringe of the first radiated area. In fact, I would say the new nodule is about half in the previous radiated area and not. My question, any one knows the risks of treating the same area with another 30 greys? I have a little concern since 20+ years means I'm only 56 and, while I have no doubts that the muscle cancer on the hand is a VERY low risk, I don't know the risk for a radiated area of 60 greys. I was told they would not radiate the same area twice and only 3 different treatments on a single hand (ie 6 treatments total).

I had hoped for another 25+ career as a symphony musician, but am beginning to think a hand with a bunch of contractures becomes hard to mitigate with NA (I have no doubt that radiation will delay onset, but no illusion that it will stop it cold). I am leaning towards more radiation. (wolfgang I would love your opinion on my question)

Thanks!

07/04/2012 01:26
Christl 
07/04/2012 01:26
Christl 

Re: Radiating an area that has been already radiated with 30 greys...

When I went to Germany last year I met a lady from the States in Prof. Seegenschmiedt's waiting room. She had RT done here in the States and had the same problem as you. Nodules kept popping up, so she went to see Prof. S. She had two rounds with him (30Gys) and whatever Gys she had here in the States. Prof. S thought it was ok. So I guess it is ok, of course you are so young. If I were you, I would contact Prof. S and see if he thinks RT is possible for you again. If yes, go to him. Prof. Seegenschmiedt is the man! Actually I will see him again soon, I also have LD in both feet, go figure! This disease realy sucks.
Best of luck. There is still NA. That can be done over and over again from what I understand.


Christl

07/04/2012 02:37
GaryBall 
07/04/2012 02:37
GaryBall 
Re: Radiating an area that has been already radiated with 30 greys...

musician42:
Hello!

I have been a lurker for a while, but was diagnosed with DC in March after noticing a bump that popped up on my hand in mid Feb. My Dad has DC in both hands, I'm a musician in a top symphony in the nation (regular tours to carnegie, european tours, etc) and so am geared to any anomalies with my hand. I had hope that this would only affect me later in life (ie after 55) but alas, it has not as I am 36, and it is aggressive. I received my first radiation treatments on the nodule literally a month and a half from the time the nodule first popped up (this after visiting 2 hand specialist with one saying i should accept my career will be over and to become a yoga instructor... after a hand surgery of course). Unfortunately, in this short time a cord had already developed from the ring finger to the base of my thumb. The main nodule on my ring finger is not a bumb any more, but had expanded between the 6 weeks between the first and 2nd treatments... oh well, nothing more can be done .
hi musician,

This is what happened to one of our members.......her name is maddie......you can check her postings on this site.......there is possibility of more RT......I believe the issue is nt cancer but more skin damage and the possibility of a longer recovery time if surgery is later required.....


Best of luck

Gazza

07/04/2012 03:17
flojo 
07/04/2012 03:17
flojo 
Re: Radiating an area that has been already radiated with 30 greys...

NA is definitely effective in releasing contracture. I've had it twice and anticipate needing it again in 2-3 years. I am older - 71 when I had it the first time, now 74. I do not wait until there is serious contracture. I had it done at 15-20 degrees. It could be done sooner.

I don't know where you live, but Dr. Denkler who did my NA and near San Francisco is a hand surgeon, does NA when possible, does full surgery only when less invasive treatments don't work, and now does Xiaflex. I believe that he would suggest that you consider Xiaflex. It lasts longer than NA. NA on the other hand is such an easy procedure and you're back at almost full normal usage in 3-4 days.

Send Dr. Denkler an email describing your Dupuytren's condition and if possible, go to see him for a consultation. He knows and does all treatments except RT and he supports that.

As for a nodule outside the radiated area, I had the same thing happen. The nodule introduced itself in it's sore, tenderness way. It settled in as a hard little BB sized lump. I was just noticing that I can't feel the BB anymore. I don't know if it gave up because it didn't have others to gang up on my hand or if it will do something else when I least expect it.

I am for acting sooner rather than later. I'd seriously consider trying to keep on top of your disease with NA every 6 months maybe. Ask Dr. Denkler how often he has done it on someone with aggressive Dupuys like yours.

Another suggestion, get a custom made night splint. That has made more difference in my hand not getting stiff with contracture than I would have ever imagined. I did not have a splint with the first NA but I have had one since my 2nd NA last July and it clearly makes a significant difference. I expected to have NA about every 2 years, but now I think I will go 3-4 years and I give the splint that much credit.

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