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Suggest Alternative To Chemotherapy For Threatment Of Liver Cancer

Posted on Thu, 4 Dec 2014

Question: Would
There be other options apart from
Chemo for 1 liver met of 16 mm
And 1 aortocaval node containing
A met?

Answered by Dr. Michelle Gibson James (1 hour later)

Brief Answer:
may be the best option

Detailed Answer:
HI

There are different options available for cancer treatment including surgery, chemotherapy and radiotherapy.

Chemotherapy would the main option to mets to the liver if any of the following options are present: (1)the primary cancer may also respond variably to the treatment
(2)it would be difficult to remove the liver met by surgery'
(3)there are several mets in the liver
(4)the person cannot tolerate surgery
(5)cancer has spread to other locations that the liver

Because there is a met in a node and also in the liver, this would meet the last criteria for the for chemotherapy.
In addition, depending on his general fitness, he may not be able to tolerate surgery.

I hope this helps, feel free to ask any other questions

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Michelle Gibson James (1 hour later)

Even if there is 1 node involved as 1 met in the liver would
Surgery still not be a option ?

The primary cancer had already been removed in the bowel .

Would
Chemo cure this eg kill
Both the node and liver met?

Answered by Dr. Michelle Gibson James (7 minutes later)

Brief Answer:
still need for the node

Detailed Answer:
HI

One of the criteria would be spread to other areas, this would include a node. If the lesion in the liver is removed, chemo would still be needed for the node.

In terms of cure: it is difficult to predict if any cancer patient would be completely cured of their cancer and if there would be a risk of recurrence. Only the chance or possibility of cure can be given not an absolute yes or no.

Please feel free to ask any other questions

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Michelle Gibson James (2 hours later)

Would it Not be better to remove the liver met by ablation and chemo
For node ?

Is 1 live meta and node able to
Give good prognosis ?

But his cea is only 8. Would it not b higher ?

Answered by Dr. Michelle Gibson James (12 minutes later)

Brief Answer:
used to monitor

Detailed Answer:
HI

The CEA is mainly used to monitor. Values are compared to check the success of treatment and evaluate for any changes in the cancer.
If this value is stable or lower compared to his previous values that is good.

In terms of the treatment protocol, it can sometimes vary slightly from one institution to the next but if you have problems with the protocol at your current hospital, you may want to consider speaking to the oncologist on staff.
They would be able to tell you the reason for their specific treatment regimen

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Michelle Gibson James (31 minutes later)

Thx

Well his
Cea was as follows

May 3 XXXXXXX 4
July 6
August 9.8

Colon surgery was march and xeloda was started bit later in XXXXXXX as he was
Not sure if to have it .

However, xeloda was stopped at 4 th cycle
In sept as scans were needed .

But strangely cea was 8 in october . This was during the time he was not
Having xeloda.

Would this
Drop
Mean anything without chemo ?

Answered by Dr. Michelle Gibson James (7 hours later)

Brief Answer:
any changes would be significant

Detailed Answer:
HI

Any changes in the CEA would be significant whether he is currently on meds or not.
They would all be noted and would be relevant to his treatment and prognosis but they would need to further monitor to see if it continues to trend in this direction.

Note: For further queries related to kidney problems Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar