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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Has Colorectal Tumor With Metastasis In Both Liver Lobes. Tumor Reduced, But Liver Seems Inoperable. Second Opinion ?

Hi my husband has colorectal tumour with metastises in both lobes of the liver, He has undergone radiotherapy and chermo in tablet form then a second treatment of cetuximab, oxiplaitin and fulfox? which have significantly reduced the tumour markers but we have been told the liver is inoperable here in the UK. We would like a second opinion and wondered where to achieve this
Tue, 30 Jul 2013
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General Surgeon,  's  Response
Hi and welcome to Healthcare magic.Thank you for the query.
you didnt provide enough info about his condition,but generaly operability of hepatic tumors can be easily determined so I dont think that your doctors did something wrong. Multiple metastasis may be removed.but in most cases if there are metasties in both lobes then there is usually vascular invasion and the removed part of liver would be too big to allow normal liver functioning. There are some modern nonsurgical therapeutic modalitise( RFA, cryoth,ultrasound th etc) beside chemo and radioth, but the results are not promising.
Wish you good health and good luck. Regards
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Has Colorectal Tumor With Metastasis In Both Liver Lobes. Tumor Reduced, But Liver Seems Inoperable. Second Opinion ?

Hi and welcome to Healthcare magic.Thank you for the query. you didnt provide enough info about his condition,but generaly operability of hepatic tumors can be easily determined so I dont think that your doctors did something wrong. Multiple metastasis may be removed.but in most cases if there are metasties in both lobes then there is usually vascular invasion and the removed part of liver would be too big to allow normal liver functioning. There are some modern nonsurgical therapeutic modalitise( RFA, cryoth,ultrasound th etc) beside chemo and radioth, but the results are not promising. Wish you good health and good luck. Regards