← Return to Stage IV Adenosquamous pancreatic ca: finished SBRT, what's next?

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@gamaryanne

I recently had 5 rounds of SBRT on a small lung module. On the day of the last radiation, I also started 4 rounds of chemo to hopefully shrink a new tumor in my liver. Directed radiation is proposed for that area, GIVEN with have a little shrinkage. Did you have any side effects from the liver directed radiation? Extreme fatigue?
Trying to figure out if I’m feeling chemo or after effects of radiation!

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Replies to "I recently had 5 rounds of SBRT on a small lung module. On the day of..."

I asked my oncologist why most drs don’t keep their patients on chemo while doing SBRT and he replied that most drs think it would be too much on them physically so they just limit them to the radiation. I was tolerating chemo pretty well, so the radiation oncologist kept me on both, and possibly because I was only getting 3 treatments. I did a feel a bit weaker after the treatments, but it wasn’t anything extraordinary, also we were radiating a 0.9cm so my guess is that might be a shortened time to radiation exposure given the small size of the lesion. About 8 weeks following the procedure and a liver biopsy following the SBRT, I had severe pain in the area of the liver/biopsy area. The biopsy was negative btw (it had been positive in December 2023). It turned out to be inflammation which I experienced decreased pain every few weeks until last week where I almost have no pain in that area now. Actually Alleve works well for that pain, though it’s not to be used too often as it goes through the liver. The side effects of radiation are only temporary I believe. Are you no longer in your trial? Did they do a biopsy of n the nodule in your lung?
I’ll be praying for you for a speedy and full recovery.

Hi @gamaryanne! My radiation oncologist said that Gemcitabene interacts with radiation. He's also giving me at least 2 weeks after radiation before I restart chemo, to give my body a break. I had directed radiation to my liver lesions, and also to a subcutaneous tumor on my belly. The belly site was painful before the radiation, and continues to be painful now. I was on double doses of Tylenol, but that gave me horrible night sweats. My doctor prescribed 1 ml hydromorphone which I've just started, plus anti-constipation meds. I have been weak, due to chemo-induced anemia, and the radiation also knocked the energy out of me. Gotta keep doing these treatments and hopefully recover to get some strength back! Golf season approacheth! (Although still 18 inches of snow in my backyard 😂!). Thanks all!