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Colon cancer and Liver transplantation

kyolcu
Posts: 112
Joined: Jun 2017

Hi everyone,

I have satge 4 colon cancer and recently had colon tumor removal surgery due to obstruction in colon And still trying to recovery. I wonder has anyone had liver transplantation with primary colon cancer. My oncologist at MD Anderson told me liver transplantation will not work form because my primary tumor is in colon. I appreciate if you write your feedback and experience for same issue.

thanks

Kadir

Ruthmomto4's picture
Ruthmomto4
Posts: 638
Joined: May 2013

that spreads to the liver from someplace else a transplant is not an option. It’s only an option in liver cancer or occasionally bile duct cancer. When it comes from another source your options are more limited but not bad. You should talk to you oncologist about chemo, if you are a candidate for liver resection, and other methods of killing the metaststic tumors.

kyolcu
Posts: 112
Joined: Jun 2017

Thanks for response. I am chemo regimen and also had SIRT procedure for my liver but they told me I am not a candidate for liver surgery.

Mikenh's picture
Mikenh
Posts: 777
Joined: Oct 2017

Have you talked to a surgeon that specializes in liver surgery at MDA about your case?

kyolcu
Posts: 112
Joined: Jun 2017

No, I have not talked to liver surgeon at MDA  yet, but my oncologist was sure when saying transplantation will not work for metastatic tumor.

Ruthmomto4's picture
Ruthmomto4
Posts: 638
Joined: May 2013

is totally different than a transplant. A resection is when they cut the parts of your liver with tumors in it away.  You can’t have them spread over the whole liver it has to be in one area and some areas are harder to get. My husband has had two liver resection and one ablation of the tumor.

Woodytele
Posts: 163
Joined: Apr 2017

Not an option if the liver has tumors from other cancers.  If you got a transplant, the cancer would attack the liver in no time.  I asked my Onc this when I was diagnosed. 

mountainhiker
Posts: 54
Joined: Aug 2018

From what I've learned, liver resection is the optimal treatment for mets in that organ.  Whether or not that option is available to you should be the surgeon's decision - not the oncologist.  I had 3 different oncologists at 2 cancer centers tell me to get my afairs in order when I was diagnosed stage iV last year.  They said surgery was not an option and I would have 2 years left at best.  I met with a surgeon at MSK and at the first appointment was told he would be doing a liver resection and that all of my tumors would be removed.  

Check out this link to an article written by my doctors.

https://link.springer.com/article/10.1245/s10434-015-4456-9

mountainhiker

Twinzma
Posts: 212
Joined: Jan 2018

They will not do transplant surgery in the US if it is not primary liver cancer. They are doing it in OSLO and with pretty good results. I reached out to a surgeon there and you must be a resident and move there to have it done.

Joan M's picture
Joan M
Posts: 380
Joined: Oct 2016

It would be tempting to move there for that procedure, but difficult for most people.  

karyns_dad's picture
karyns_dad
Posts: 24
Joined: Oct 2015

Here is a TRANSPLANT program at Cleveland Clinic.  They are developing after following the Oslo, Norway program.  I am scheduled for resection and HAI pump insertion there on the 25th.

https://www.google.com/amp/s/consultqd.clevelandclinic.org/first-transplant-to-treat-liver-metastases-from-colorectal-cancer-in-the-u-s/amp/

 

Joan M's picture
Joan M
Posts: 380
Joined: Oct 2016

So glad to hear you found a place that would operate on your liver tumors.  Please let us know how your surgery goes!

Twinzma
Posts: 212
Joined: Jan 2018

Encouraging to see that they are researching this again! We already know that the cancer does come back but I don't see why with close monitoring a positive outcome couldn't be achieved. 

 

Joan google searching led me to it. Svien Dueland is whom I reached out to. 

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