Case Study
Case Study  1 : Cerebellopontine Angle Haemangioblastoma Successfully Treated
with CyberKnife
®  >>
Case Study  2 : CyberKnife®  for Hypothalamic Hamartoma  >>
Case Study  3 :
Breast Carcinoma with Lung Metastasis
Case Study  4 :
Rectal Carcinoma with Lung Metastasis
Case Study  5 :
Breast Carcinoma with Spine Metastasis
Case Study  6 : CyberKnife® for Inoperable Cholangiocarcinoma  >>
Case Study  7 :
Breast Carcinoma with Solitary Liver Metastasis
Case Study  8 :
Lung Cancer Treated
with CyberKnife
®  >>
Case Study 9 :
Cyberknife in Prostate cancer
Case Study 6 : CyberKnife®  for Inoperable Cholangiocarcinoma
A 53-year-old male was presented with a history of progressive pruritus and jaundice. CT scan of abdomen revealed a 6 * 5.8 cm infiltrative mass involving segment IV of liver extending to the hepatic confluence and encroaching the hepatic vessels. ERCP stenting with biliary sphincterectomy was done to relieve jaundice, and biopsy confirmed the diagnosis of Cholangiocarcinoma.

PET scan showed the presence of localised but even more extensive disease without any distant metastasis. The lesion was considered inoperable in view of the involvement of hepatic vessels. Therefore, the patient was referred for CyberKnife® treatment.

The patient was treated with CyberKnife® with 2250 cGy in five fractions and gold fiducial placement. The patient tolerated the treatment well. A CT scan performed after 6 months of CyberKnife® surgery revealed shrinkage and radiation-induced after changes without any progass of altered liver function suggesting well-being of the patient.
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