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Side-effects of radiation
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05/14/2012 13:54
switcombe 
05/14/2012 13:54
switcombe 
Re: Side-effects of radiation

Thank you, Lori, for the additional encouragement. From what I can tell, my Dupuytren's is very aggressive - a new nodule every few weeks. I'm very hopeful that I will be among the 90% or so whose disease is arrested. I know that this doesn't work for every case and I feel very badly for those whose disease isn't halted, even after radiation. I'll be leaving for Germany this Friday and will see Prof. Seegenschmiedt next Monday.

05/14/2012 14:22
Christl 
05/14/2012 14:22
Christl 

Re: Side-effects of radiation

Good Luck, my hands were like yours. One new nodules after another. Got zapped, no new nodules, all stopped.
Now after 6 month my hands are not even dry anymore. They do have plenty of cords, but they don't bother me. RT does not work on cords, at least not on mine. I had two realy big coconut nodule, one on each hand, they are as good as gone.
Enjoy Hamburg.
Christl

05/14/2012 22:17
TrevB 
05/14/2012 22:17
TrevB 

Re: Side-effects of radiation

switcombe:
TrevB:
It sounds like you've gone through the thought process and reached a decision. I read a quote about treating benign conditions with such a powerful treatment which said that many benign conditions can actually be very damaging to quality of life. Dupuytren is certainly one of those and the best course of action IMHO is to try to nip it in the bud asap. I didn't want to have RT but watching the disease progress (mine was progressing) to the knife was a non starter for me. 3 years down the line with disease regression and fully functioning hand I think that I chose the correct option for once. I had dry skin before and I don't think that it's any worse now and the strength is the same in the hand as it was before RT

Cambidgeshire, UK.
Thank you for the good report TrevB. Where did you go for treatment and what protocol did you receive?

I had my treatment at Poole on the NHS (they only do it privately now I believe) and had 5x3Gy over 5 days and then the same again a few weeks later. I only have good use of the right hand so radiotherapy was a no brainer as I couldn't risk waiting to see how disabled it got. Whether I'd have made the same decision with two functioning hands I don't know but if you can avoid invasive surgical procedures at any time then do it would be my advice? However, only the individual can decide what's best!

Cambidgeshire, UK.

05/14/2012 22:37
cureall 
05/14/2012 22:37
cureall 
Re: Side-effects of radiation

I had RT from Oklahoma U about 2.5 months ago and so far no difference. IN fact, things seem a little worse. Any suggestions or comments?
Thanks,
cureall

05/15/2012 01:09
Christl 
05/15/2012 01:09
Christl 

Re: Side-effects of radiation

I had the same experience. After my first round of RT I felt my hands got worse. I actually had some more nodules come in. At first I thought, oh well, I had a great time in Germany. Make a long story short, after my second round of RT I could tell the difference. Several month after, realy saw a difference. Now 6 month after RT "big" nodules are gone, the new nodules disapeared, all the others are frozen in time. Actually they kind of melted together. All is good.

Christl

Edited 05/15/12 04:11

05/15/2012 01:41
patandpaula 
05/15/2012 01:41
patandpaula 
Re: Side-effects of radiation

I too had radiation in Oklahoma and things have gotten worse since. That was about two years ago.

05/15/2012 01:49
Maddie 
05/15/2012 01:49
Maddie 
Re: Side-effects of radiation

switcombe:
Maddie:
I have had RT twice on both hands, and a small part of one hand was irradiated three times. No real side effects to speak of. Maybe a little dryness, but nothing I really notice, and I rarely use hand cream. I have an aggressive case of Dups and am VERY thankful I got the RT done. I was scared of the radiation the first time, but now I am a lot more scared of this disease than the RT .

Maddie
Thank you, Maddie. I needed to hear that; I'm still worried about dry hands. I do gardening, cook from scratch, and generally have my hands in water repeatedly throughout the day. Where did you have treatment?

My first treatment was at Scripps in San Diego. The protocol was 2 gys/day for 10 days (over a two week period), with just a single treatment. This is different than the German protocol.

The treatment was initially very successful. Like you, my Dups was very aggressive, wgoing within just a few months from no nodules at all to 4 visible nodules (one quite large) and the beginning of cords and restriction of mobility. By the time I got the RT, my hands were visibly changing every few days.

The RT stopped the growth in its tracks, and over the next 6 - 9 months the nodules gradually shrank. But about a year after the treatment, I had a new nodule pop up right outside one of the treatment areas. I was immediately concerned that perhaps the treatment area had not been large enough. So I contacted Dr. S. in Hamburg. He too thought that there was a possible undertreatment, and agreed to re-treat me. So I ended up getting two treatments from him. This resulted in a small portion of my left hand receiving 3 rounds of RT, as the areas were so close together. But as mentioned, this has not caused a problem for me. In fact, I had a consult with Dr. Eaton in Florida last month, and he commented that my skin looked in great shape.

If I had it to do all over again I would have gone to Dr. S. in Hamburg from the start, as it sounds like you are doing. Many people have gotten treatment in the U.S. (or other countries) and been very happy with it, so this is not the course for everyone. But I decided that with my aggressive Dups and my relatively young age* (diagnosed at 49, now 52), I wanted to go to the radiologist with the most experience with Dups. As others have pointed out, it is not a question of skill at RT -- there are obviously many outstanding radiologists in the U.S. -- it is a question of familiarity with Dups and knowing how to detect the extent of the area that needs treatment.

I also had an absolutely wonderful experience in Hamburg. Dr. S. and the clinic staff are great -- very friendly and helpful. And I envy your being there in May -- I was there in winter, which is not ideal! But I think it would be a great place to visit in warm weather. As a bonus, I took an Air France flight which stopped over in Paris, so I was able to squeeze in a few days there. A "radiation vacation," as another forum member has said.

Good luck and keep us posted!


Maddie

* Although Gary Ball will no doubt note that I am older than him, and always will be...

Edited 05/15/12 05:11

05/15/2012 02:47
cindy850 
05/15/2012 02:47
cindy850 
Re: Side-effects of radiation

I have been sitting and reading what everyone has posted and i have posted on this subject myself. it's very surprising of the amount of people only believe in the Germany protocol. It's a joke because we live in the states and there are loads of good radiologist and i happen to have one in Liberty Missouri. Thats right in a small town and a good doctor. And yes i was his first patient to do radiation on Dupuytren's. I was not worried how else are they going to learn. And all of you that keep getting activation of nodules outside of RT treatments area. I had whole hand done on both hands all the way up to second knuckle. It's been over 2 years and i had 2GY for 5 days, weekend off and then 5 more days. By the way he is one of the cheaper doctors to have treatment by. I would run to him if i get reactivation. I call him my good luck charm doctor! I would never just get 1 nodule treated etc. etc. What a waste of time. Try it my way for a change and it might work for you all and quit running to Germany every time you need treatment.

Edited 05/15/12 06:18

05/15/2012 03:04
switcombe 
05/15/2012 03:04
switcombe 
Re: Side-effects of radiation

cindy850:
I have been sitting and reading what everyone has posted and i have posted on this subject myself. it's very surprising of the amount of people only believe in the Germany protocol. It's a joke because we live in the states and there are loads of good radiologist and i happen to have one in Liberty Missouri. Thats right in a small town and a good doctor. And yes i was his first patient to do radiation on Dupuytren's. I was not worried how else are they going to learn. And all of you that keep getting activation of nodules outside of RT treatments area. I had whole hand done on both hands all the way up to second knuckle. It's been over 2 years and i had 2GY for 5 days, weekend off and then 5 more days. By the way he is one of the cheaper doctors to have treatment by. I would run to him if i get reactivation. I call him my good luck charm doctor! I would never just get 1 nodule treated etc. etc. What a waste of time. Try it my way for a change and it might work for you all and quit running to Germany every time you need treatment. What has Germany did for the states thats worth talking about!
Hi Cindy, I appreciate your point. I also have a local radiation oncologist who is willing to treat me even though he hasn't treated this disease in his 30+ years of practice. He also was willing to treat the whole hand up to the second finger joint if that was what I wanted. However, the cost was going to be 16,000+ which is why I have opted to go to Germany.

05/15/2012 03:09
switcombe 
05/15/2012 03:09
switcombe 
Re: Side-effects of radiation

By the way, is this the address for the clinic in Germany? Which part of that would be the street name?

Strahlenzentrum Hamburg
Langenhorner Chaussee 369
22419 Hamburg

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