Apr 22, 2013 - 7:22 pm
After all your wonderful responses to my first post, I would like to ask you for advice.
My partner has coloncancer IV, originally diagnosed with mets to the liver. The most recent full body pet scan showed lesions in the lung, three on the left side, one to two on the right. We are located in europe and he has been treated in one hospital ever since and was not interested in any second opinions which have been offered to him. They resected the primary and the liver mets and he had two major follow on liver surgeries and various minimal invasive ones where they took out very small lesions in the liver. in every follow on scan so far (he was diagnosed 3 years ago), 1-3 small lesions showed in the liver Which were removed every time. He reacted well to chemo but hasn't had it for a year - they wanted to save it up for "later".
The treating oncologist wants to schedule open surgery asap and take out the lesions on the left side of the lung which are resectable. In a second step he wants to take out the 1-2 lesions on the right side with an ablation technique Although resectable, he wants to spare tissue on the right side by doing this. I understand that they don't want to do chemo. The oncologist said that it does not work on liver mets.
Now I have been reading very different things and in particular that the systemic disease needs to be treated which is why follow-on chemo seems logical to me. In addition, I am wondering if one would ever choose ablation over regular surgery, if the latter is possible. I have read that recurrence is (significantly) higher with ablation. In addition, I wonder if open surgery is preferable to VATS, which may allow for quicker recovery.
Without access to second opinions, which my partner needs to decide on, I retrieve all my information from forums and websites and would be very thankful for any insights on this situation. In light of the fact that this is a US forum, this is probably not the right forum to ask, but if anyone knows about particularly recommended centers in Europe, any hint would also be appreciated.
Last but not least, how do you feel about me inquiring about this.. I sometimes think I should leave the decisions to my partner and if he chooses to just go for the one opinion of his oncologist then that's his choice. On the other hand I tend to think that he might regret at some point or that something could have done. It is hard to sit still.
Btw: any survivor stories of colon cancer and lung mets?
Thank you so much!
lost caretaker :-)