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Have a lady I treated 2 years ago for a large-ish NSCLC that involved the chestwall to 60 Gy in 8 fx (7.5Gy per) who has had terrible chestwall pain and 3 broken ribs since. About a year after treatment it looked like she had coagulative necrosis on an MRI. It has since improved on imaging and there is no concern for tumor progression. Pain remains awful though. Wrapping around her ribs.
What do you do? I've tried the Vit E/Trental. Typical narcs. Sent her to pain for nerve blocks. She doesn't live close so not sure about HBO.
What do you do? I've tried the Vit E/Trental. Typical narcs. Sent her to pain for nerve blocks. She doesn't live close so not sure about HBO.