May 21, 2011 - 5:16 pm
I have a few questions to ask on behalf of my friend who has a large tumor pressing on his intestines and embedded in his abdominal tissue as well as some cancer in his peritoneal lining. He is being treated in Boston and had surgery back in Dec, but they were unable to remove the tumor. He has been on a combo of irronotecan and oxaliplatin since the beginning of March. The irrinotecan and oxaliplatin are keeping the cancer stable, but is not shrinking his tumor. Also, I think it is really tough chemo regiment.
My friend is not on 5-FU because it gave him heart difficulties 5 years ago when it was administered after his first bout with cancer that was surgically removed.
My friend just returned from a second opinion at Sloan. The Sloan doctor thinks that he can go back on the 5-fu, but that it should be done under hospital supervision for the first go around to make sure there are no problems.
We have sent his medical records to several surgeons for their opinions. The Boston doctor who attempted the surgery back in December says he is not a surgical candidate for the tumor removal. The Sloan surgeon also said he is not a surgical candidate. The Pittsburgh HIPEC doctor said that he will review his case in August after my friend is done with chemo. The Baltimore HIPEC doctor is potentially interested in his case, but my friend hasn't followed up with him yet. My friend is suspicious about the Baltimore doctor since all of the other doctors have said no.
Anyways, right now, it seems according to his doctors. that the tumor that is pressing on his intestines is more immediately problematic then the cancer in the peritoneal lining.
My questions are as follows:
2. I read about IORT - intraoperative radiation therapy. According to the Mayo clinic "IORT is used for cancer that cannot be cured with surgery alone and for tumors that are either attached or close to vital tissues" which sounds like my friend's case. Is IORT a tool that is available at most hospitals or is it a specialty that we should research. Are there any hospitals that offer IORT and HIPEC? I just don't know if IORT is part of standard treatment or not. Any thoughts?