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Skull vulnerable after cancer treatment ?

hello i am 25 years old from israel

i am 1 year after 4 BEP cycles and 15 radiotherapy sessions to the head. my cancer markers are perfect and scans show only traces of the tumors.

the tumor is a mixed germ cell non-seminoma.

also had my left testicle removed 1.5 years ago.

today i am considered in remission.

ive recently been to my oncologist and she told me that my skull is very vulnerable right now and that it will be that way for at least 3 years after treatmant.

i dont remember if its because of the radiotherapy or the chemo...

any i would like to know more about this.. my doctor seemed unclear about specifics.
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replied July 4th, 2009
I am unsure about exactly what your doctor is referring to, unfortunately.

Following radiation therapy to the brain, the bones of the skull may be at increased risk of something referred to as osteoradionecrosis, which is a weakness of the bone due to death of the bony tissue from radiation exposure, although this a very uncommon problem with modern techniques of radiation therapy. (I cannot think of any complicaitons of chemotherapy that would specifically affect your skull.) Assuming that you have not also undergone brain surgery, I cannot honestly say that I understand what your oncologist is referring to.

I would suggest that you ask your radiation therapy doctor to be more specific in discussing these concerns.

Sincerely/ Robert A. Wascher, MD, FACS

A landmark, evidence-based guide to a healthy cancer-prevention lifestyle, based on cutting-edge cancer research.
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