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Asking for Father, Male, 70 years old, Lahore
I Am Consulting Dr Zakariya for my Father Can We go for cyber knife treatment ?
Suggested reply: I’m sorry to hear about your father’s diagnosis. CyberKnife (a very precise form of radiation therapy) can sometimes be helpful for liver cancer that has spread into the portal vein (PVTT), but it is not the best treatment for every patient. According to the latest international (NCCN) guidelines, many patients with this condition benefit most from medications that treat cancer throughout the body, such as immunotherapy and targeted therapy, especially if the liver is still working reasonably well. In some patients, CyberKnife may be used together with other treatments to shrink the tumor, control growth, relieve symptoms, or improve local control. Whether it is suitable depends on several factors, including: * How much of the portal vein is involved. * The size and number of liver tumors. * How well the liver is functioning. * Whether the cancer has spread outside the liver. * Your father’s overall health. Since your father is already seeing Dr. Zakariya, I recommend discussing his case in a multidisciplinary tumor board, where liver surgeons, medical oncologists, radiation oncologists, and interventional radiologists can decide on the best personalized treatment plan. If you can share his CT or MRI scan reports, liver function tests, AFP level, and any biopsy report, I would be happy to provide an evidence-based opinion on whether CyberKnife is likely to be beneficial in his specific case. Dr. Ahmad Raza Consultant Medical Oncologist ? Pakistan: +92 042-34500888, 92 ? UK: +44 042-34500888, 3
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