Enlarging treated left occipital metastasis
Biopsy/LITT reconsideration for an enlarging irradiated occipital lesion; the November perfusion MRI remains pending.
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The fourth bevacizumab dose would postpone the biopsy/LITT washout again.
Dose 3 is planned for 11/05 and dose 4 for 11/25, neither yet documented as given. Dr. Vale’s 4-6-week interval reaches 12/03-12/17 after a last dose on 11/05, but 12/23-01/06/2027 after 11/25. She asks to move dose 4 for Thanksgiving in Chicago. These dates are waiting intervals, not clearance; the next infusion decision also affects a recurrent-tumor trial’s washout.1, 2, 4, 5Dose 3 is planned for 11/05 and dose 4 for 11/25. Dr. Vale’s 4-6-week interval reaches 12/03-12/17 after 11/05, but 12/23-01/06 after 11/25; these are waiting intervals, not clearance.2, 4
Sources 3 records, 1 trial entry2 records
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Symptom improvement has not established that the occipital lesion is necrosis alone.
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She has conflicting sodium instructions, with urea stopped and salt continued at home.
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She still has right-sided visual reserve that matters to her independence.
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Her steroid taper has not established adrenal recovery before possible anesthesia.
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Recruiting TrialsHer procedure choice and bevacizumab timing affect recurrent-tumor trial access.