Hope all doing well. I'm a little weary. Last week PET scan pretty much confirmed liver met.
I went to talk to a surgeon outside my HMO today. His plan of attack is :
1. Radiation to rectal cancer and Chemo
2. Surgery to remove rectal cancer
3. More Chemo
4. Surgery for 3 x 3 cm liver tumor.
This wasn't what I was expecting. I had heard that if I had liver mets that I would have liver surgery very soon to remove it.
Could anyone tell me if this is the order of events that occured for them for liver mets? I realize everyone's case is different.
The surgeon says it would be stressful on my system to have them both tumors removed at same time. (I am only 33, though!) And if done seperately there is better chance of healing. Also if after three months, I have more mestastis in my liver then I am not a good candidate for liver surgery. This is a little bit nerve wracking for me for him to suggest to leave the liver tumor there and wait to see if more develop. He said though that there is more of a chance of mestatsis coming from the rectal tumor than coming from the liver tumor.
I'm also still trying to sort out with my HMO for everything. The surgeon (outside HMO) strongly urges that I get all my care coordinated in one place. I really hope HMO agrees to this. Have all chemo/radiation, surgery and follow care done at the surgeon's hospital. I had my PET scan done at my HMO last week. It was a joke. It was in a trailer outside of the building because it is a mobile unit that travels around to hospitals. It was freezing in there. I was wheeled out to it in a wheelchair very uncomfortable because of catheter in place. That is ridiculous. I am in a large city. Why the heck doesn't this HMO just get PET scans done at a nearby hospital. It would be different if I was in the boondocks.
Thanks in advance for any info