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I was diving a patient for mandible RON. Most recent PET scan shows pelvic bone metastasis. ORAL surgeon called the patient stating that HBO is spreading cancer and she has to stop it. What would be a good source of information for a medical provider about HBO therapy on cancer patients
May 15, 2024 by Cristina Ipatii,
3 replies
Elaine Horibe Song
MD, PhD, MBA

Hi Cristina

Yes, we have this resource to educate other clinicians on HBOT, which can be shared with the oral surgeon if you'd like. 

Hope that helps!

Elaine

May 15, 2024
How about HBO2 therapy in patients with metastatic cancer. What is the current recommendation?
May 15, 2024
Elaine Horibe Song
MD, PhD, MBA

Hi Cristina,

Jotting down Dr White and Jeff's thoughts - according to literature, it's fairly well established that HBOT does not affect the metastatic propensity of a known malignancy, recurrence rate of a previously healed malignancy nor does it seem to affect the vascularity pattern of a current malignancy. Dr Feldmeier (a radiology oncologist by training) published a great meta analysis on this subject. In addition, there has been more recent articles that have confirmed his findings. Here is a link to one of this publications: 

As for current recommendation of HBOT in patients with any cancer, if patients are getting treated for cancer and the HBOT indication is an elective condition, one can consider delaying HBOT until completion of their cancer therapy, due to potentiation of radiation therapy and/or certain chemo drugs being contraindicated with hyperbarics.

May 15, 2024
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