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Who has had chemo FIRST then surgery?

Phil64's picture
Phil64
Posts: 411
Joined: Apr 2012

Recently found liver mets via MRI.  Per surgeon, not a candidate for surgery at this time (five liver mets in various locations). The recommendation is to use chemo (FOLFIRI and Erbitux) to shrink/stop the tumor growth and then consider surgery at a future time.

Anyone been down this road before?  Is surgery a consideration after using chemo? Has anyone had liver resections after using chemo to shrink/stop tumor growth?

Thanks in advance for the info.

Phil

Blog: http://PScamihorn.me

 

 

 

bigman4christ's picture
bigman4christ
Posts: 87
Joined: Oct 2012

Hi Phil, the Onc said that i wasnt a candidate for surgery either because there were to many spots on my liver so we just jumped into Chemo hoping to shrink everything first.  i dont know if that helps you out at all but you are not the only one that they started chemo first with.  hope that helped

zach

barbebarb's picture
barbebarb
Posts: 464
Joined: Oct 2011

Phil - sorry to hear this. my reoccurence is to liver-same place. They did thorecotomy, wedged to get tumor right lower lung and had to go thru diaphram to get first tumor (they missed in 08!) Ugh. Had 4 Xelox chemos before this surgery and four treatments after. Sorry, first surgery was left lung lobectomy...2/4/12 and 2nd 4/9/12 was the other, no chemo in between. Have small - 5mm left module that has not grown and did. NED 8/27 and liver reoccurence in December. Liver surgeon suggested Rfa but new local oncologist working with N. Western said focus on lung module and liver mets reoccurence-same place on left snd one on right-bothe small. Will I be a candidate for surgery on the liver, guess I wont know. Mets are small on left and right but reoccurence is on vena cava on left same place. Of course, they are watching everything with me since brain tumor surgery (recent mri-no evidence of cancer) and lesions on trachea confirmed colon cancer. Have read good results with Rfa and surgery. Craiger will probably give insight. I am on folfori - 4 cycles -KRAS mutant -hoping this works on all my needs. Wishing the best for you. Your posts and Craigs were more of my first inspirations and gave me strength. I know it was best going to N. Western for surgeries but good to be 10 minutes away for chemo., whatever my next outcome is.

Hope this helps... get those surgeons opinions for "options ". Barb

Coloncancerblows's picture
Coloncancerblows
Posts: 296
Joined: Feb 2013

Hi Phil,

Before I had my surgery to remove the tumor, the surgeon did another colonscopy to see exactly how much room he had to cut.  If he didn't have enough room to cut and would have to cut into my rectum, then I was going to have to do chemo first to shrink the tumor and then he would do the surgery.  It ended up he did have room to cut so I had my surgery last month and will be starting chemo next week.  Probably not the answer you were looking for but hope it helps a little.

barbebarb's picture
barbebarb
Posts: 464
Joined: Oct 2011

There is a lot of discussion about chemo before and after...
Barb

tachilders's picture
tachilders
Posts: 315
Joined: Jun 2012

Pretty standard practice to do chemo before surgery these days.  Actually, you'll most likely do chemo before and after surgery....

Tedd

herdizziness's picture
herdizziness
Posts: 3387
Joined: Apr 2010

I had too many spots in my liver, lungs, ovary, colon, ureter and they told me I would never have surgery.

Did chemo from Feb to end of October, had my surgery on colon/ureter/liver resections in same day.  The other tumors had calicified.

Again, I am waiting to shrink tumors to have liver resection.

Winter Marie

Chelsea71
Posts: 1167
Joined: Sep 2012

Hi Phil,

My husband, Steve, is in the same situation. He has maybe 7 mets throughout his liver. Largest is 4 cm. Mets are not in one area, but spread throughout both lobes. Has done 8 Folfiri. The surgeon wants to plan toward a resection. Hopefully, it works out. I am not getting my hopes up. Would be happy with RFA. I think chemo before surgery is normal.

Good luck

Several weeks ago I asked if anyone had ever heard of sandwich chemotherapy. The surgeon we met specializes in sandwich chemo with folks with colorectal liver mets. Learned that this simply means chemo - surgery -chemo.

Phil64's picture
Phil64
Posts: 411
Joined: Apr 2012

I found other posts about Hermain Cain and one referencing this article.

http://articles.washingtonpost.com/2011-10-17/national/35277344_1_colon-cancer-common-cancers-cathy-eng

He too has had chemo then liver resection surgery and he is NED for 5+ years now.  His case sounds very similar to mine, but of course the devil is in the details.

Happy Friday to everyone!!!

Phil

danker
Posts: 722
Joined: Apr 2012

I had chemo concurrently with radiation for 5 weeks with a six week rest before my resection.

BusterBrown's picture
BusterBrown
Posts: 221
Joined: Mar 2005

 

I was dx's with Stage IV, with mets to liver (3 spots). My once decided to do chemo first (folfox) and I had excellent results, Primary tumor decreased in size and the 3 spots on my liver were gone (for about a year).  In the 9th week, I had a colon resection adn 6 weeks later I started on the Folfox again along with 5 weeks of radiaton.

Buster

Helen321's picture
Helen321
Posts: 715
Joined: May 2012

Hey Phil, I haven't had a liver resection but my doctor at Sloan said that studies in Australia found that chemo and rad before surgery are more successful than after. It seems to be the latest trend.  That's how they treated me.

julita128
Posts: 19
Joined: Jan 2013

Hi Helen,

 

Who is your doctor at sloan?

dmj101's picture
dmj101
Posts: 521
Joined: Nov 2011

neo adjuvant treatment is very common in many cancers.. especially when there are mets pressent.

this treatment is meant to controll the growth and possibly shrink it to make it more operable.

Good luck our friend. I know it seems like a long road ahead.. but keep us posted as to it goes.

<<hugs>>>

Donna

PhillieG's picture
PhillieG
Posts: 4659
Joined: May 2005

When I was DX, I had a large tumor in my liver (along with many other tumors) that prevented surgery at the time. I went on FOLFOX and Avastin and it shrunk the tumor so it became operable. So surgery is definitely an option after chemo.

Good luck!
-phil

impactzone's picture
impactzone
Posts: 429
Joined: Aug 2006

Hello,

I had chemo done for 4 months with a liver met at Stanford. they wanted to see CEA reaction and tumor response. I had liver resection and then continuded chemo. That was 6 years ago, so go for it!

Chip

KathiM's picture
KathiM
Posts: 7864
Joined: Aug 2005

Then a rest, then surgery (J-Pouch). 

There was time to do this, because I was not completely obstructed...and the tumor was large, so there was hope to shrink it first... 

I was just grateful to do ANYTHING to stop the pain!!  (Tumor was pressing on my tailbone).

 

Hugs, Kathi

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