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Can we do Immunotheraphy

Mr Manju Santhosh, 33 yrs old lady is a diagnosed case of malignant melanoma of left knee, for surgery in Mar 2013, with metastasis to right thigh diagnosed on 23 Jul 2015 on multiple lines of chemotherapy (dacarbazine/carbonation+paclitaxel+celecoxib/metronomic chemotherapy since Apr 2016). As per the contrast enhanced MRI Brain done on 24th Aug 2016 at Command Hospital Bangalore revealed multiple, varying sized, irregularly marginated, thick walled, ring enhancing lesions noted scattered in the right cerebral hemisphere as were last cerebellar hemisphere. There is associated perilesional edema noted with mass effect in the form of sulcal spaces effacement in most of these lesions. As per the MRI report, being a multiple Brain metastases, she is referred for palliative whole Brain radiotherapy and also taken a dose of 30Gy/10#/2weeks. Can we do Immunotherapy to this patient.
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Dr. Aravind S Kapali
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Sure. But majority are still investigational still. Newer drugs are also available. The cost is prohibitively very high. You must see a medical oncologist and discuss the options and costs.
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