Sep 24, 2013 - 9:56 pm
posted this on colon club yesterday but did not get any response. I hope I do get some suggestion or someone can care to enlighten me and put things into perspective.
After my surgery for the liver and colon mCRC last September I was NED till now and suddenly the cancer markers shot up this month from 3 to 15 (CEA) And 9 to 16 (CA19.9)
The CT - PET scan shows a single liver met in a new area then before ( Segment 4b). It is 2.5 cm x 2.6 cm with a SUV uptake of 9 plus. What should be my option of further treatment - RFA or another resection ?
The resection would be difficult to handle as I would again have a long recovery. Some of the opinions I have taken from the docs strongly advise resection as opposed to RFA . However, the research papers which support resection over RFA for a single met < 3 cm that i could access were of 2002. I believe there has been significant progress in RFA techniques since and may be I should opt for RFA over resection.
I seek guidance and suggestion from fellow members about what approach would suffice. Please if anyone of you has been in this situation I would appreciate some guidance. Also, what is the time frame I am looking at to getting this met out of me .?
Thanks in anticipation