My 37 year old wife (and mother of a 3 and 5 yr. old) has SNEC (Sino-nasal
neuroendocrine carcinoma), a rare, and aggressive cancer of the sinuses. It
was already 5 cm and had already penetrated the frontal lobes of her brain
by the time it was detected 10/02, however, max dosage Cisplatin/Etopocide
and 6000 rad IMRT radiation resulted in complete remission. Just last month,
it recurred, and is rapidly growing between her eyes, already pushing on
them (the lumps are very visible externally). It has also metasticised to
her lymph nodes. 2nd regimen of Chemo is not working, radiation is not
possible (tumor too large for Gamma Knife), and surgery is very complex (she
has already had one 7 hr. skull base/neurosurgery), and, at best, would
result in loss of an eye without removing all cancer.
Of the various alternatives researched, PDT (PhotoDynamic Therapy) using
focused light on photosynthesizing agents is promising but limited. CLT
(CytoLuminescent Therapy) is a new, next generation of PDT with less
limitations (re: depth of tissue it can pentrate) and is offered in limited
locations in Europe and Australia. Many positive studies published in New
England Journal of Medicine, but the technology is new, and I am looking for
anyone to share firsthand knowledge that they may have.
Thanks, I am a new poster, and looking forward to any shared insights.
J - 08 Jan 2004 01:34 GMT
> My 37 year old wife (and mother of a 3 and 5 yr. old) has SNEC (Sino-nasal
> neuroendocrine carcinoma), a rare, and aggressive cancer of the sinuses. It
[quoted text clipped - 15 lines]
> anyone to share firsthand knowledge that they may have.
> Thanks, I am a new poster, and looking forward to any shared insights.
Craig, these treatments have been discussed by doctors on
sci.med.diseases.cancer
particularly Peter Moran
so I'm cross-posting to that newsgroup news:sci.med.diseases.cancer (download
the messages there in case one of them uncrossposts and you don't see the reply
here.
Watch for replies also from Steph or Orac or madiba
I"ll reply separately here about another issue.
J
J - 08 Jan 2004 01:40 GMT
> My 37 year old wife (and mother of a 3 and 5 yr. old) has SNEC (Sino-nasal
> neuroendocrine carcinoma), a rare, and aggressive cancer of the sinuses. It
[quoted text clipped - 15 lines]
> anyone to share firsthand knowledge that they may have.
> Thanks, I am a new poster, and looking forward to any shared insights.
Hello Craig, I'm sorry about the circumstance that brings you to this newsgroup.
In the one I just cross-posted, there are "loonies " on the other newsgroup, so
beware some replies you might get.
I told you the names of the known doctors who might reply, ok?
We'll be here for you if you have other questions or just for support.
J
Steph - 08 Jan 2004 09:48 GMT
> My 37 year old wife (and mother of a 3 and 5 yr. old) has SNEC (Sino-nasal
> neuroendocrine carcinoma), a rare, and aggressive cancer of the sinuses. It
[quoted text clipped - 15 lines]
> anyone to share firsthand knowledge that they may have.
> Thanks, I am a new poster, and looking forward to any shared insights.
Unfortunately, neither of these treatments are likely to be of any
value.............
J - 08 Jan 2004 20:16 GMT
> > My 37 year old wife (and mother of a 3 and 5 yr. old) has SNEC (Sino-nasal
> > neuroendocrine carcinoma), a rare, and aggressive cancer of the sinuses. It
[quoted text clipped - 21 lines]
> Unfortunately, neither of these treatments are likely to be of any
> value.............
Care to elaborate, Steph?
surgery? not recommended because of previous radiation therapy?
and/or what would you tell your patient in such a situation?
Please/thanks
J
Steph - 09 Jan 2004 06:23 GMT
> > > My 37 year old wife (and mother of a 3 and 5 yr. old) has SNEC (Sino-nasal
> > > neuroendocrine carcinoma), a rare, and aggressive cancer of the sinuses. It
[quoted text clipped - 27 lines]
> Please/thanks
> J
I think Craig already stated why surgery is not an option.
PDT and CLT are attractive for fairly superficial cancers, but not cancers
in complex anatomical locations