May 13, 2013 - 5:32 pm
Went to Montreal today to get the results of a ct scan (AB, pelvis, chest) done last Wed. Steve's issue right now is the liver. The purpose of the scan was to determine if the cancer was stable. If stable or if shrinkage was indicated, the plan would be surgery. A two stage liver resection. If there was growth, then TACE or Theraspheres. Unfortunately, a radiologist had not yet reported on the scan. The main surgeons associate (a surgeon too) attempted to decipher it. It showed some necrosis and some shrinkage. There was a tumor at the junction of the vena cava and hepatic artery that shrunk to the point that it would not interfere with the surgery. The location of that tumor (last scan) was the surgeons main concern. So this is good news. But, there was a tumor that looked odd. It looked maybe a little bit smaller compared to last scan but it looked sort of extended. Like a smear or a smudge in the area beside the tumor. Looked like an ink drop that someone made larger by smudging it with their finger. This extension of the tumor was blurry looking. The concern is that this is tumor growth which would suggest the surgery should not happen. If the tumors are not responding to chemo they feel a resection would be useless as cancer would reappear within a short time frame. Tumor Board meets on Friday and will discuss the case and call with a follow up appointment. This doctor said he didn't see anything additional that had popped up since last scan. I take this with a grain of salt as he is not trained and didn't seem too confident in his abilities while comparing the two scans. We see the Ottawa onc tomorrow. He said to tell her that there was overall minor shrinkage. He started Folfiri with avastin mid Oct. Scan in Jan showed huge shrinkage. Avastin discontinued mid Jan due to that blood clot fiasco. I wonder if the minor response is due to mutation or the fact that the Avastin was d/c? Any ideas? The funny looking tumor I described, has anyone experienced anything similar? I'm hoping it could be something other than new growth. So, things are still
Any thoughts are appreciated.