TEM

Lisa2012
Lisa2012 Member Posts: 142
in Colorectal Cancer #1

I had an appointment with the Tumor Board today for two issues.  A recent PET scan indicated a new tumor in my rectum and two additional liver mets.  The surgeon indicated that the rectal tumor can be removed via Transanal Endoscopic Microsurgery (TEM).  I have been told this is a day surgery.  Just curious if anyone has had this surgery or has any words of wisdom.   The liver mets will be addressed with radioablation.  I am scheduled for a consult in two weeks.  I am excited about this plan and very happy to be off chemo for the time being.

Comments

  • PatchAdams
    PatchAdams Member Posts: 271
    #2
    Liver mets

    I'd really encourage you to read these links before having the mets removed via radioabalation. 

     

    http://archsurg.ama-assn.org/cgi/content/abstract/141/5/460

    http://www2.mdanderson.org/depts/oncolog/articles/11/4-5-aprmay/4-5-11-2.html

  • annalexandria
    annalexandria Member Posts: 2,571 Member
    #3
    No words of wisdom,

    just wanted to wish you good luck, and say that I'm glad that you have a plan in place for dealing with the new growth.  May it be effective and get you back on the road to remission!

    Bug hugs~AA

  • Lisa2012
    Lisa2012 Member Posts: 142
    #4
    annalexandria said:

    No words of wisdom,

    just wanted to wish you good luck, and say that I'm glad that you have a plan in place for dealing with the new growth.  May it be effective and get you back on the road to remission!

    Bug hugs~AA

    Thanks

    I am excited....I would love to be declard NED but not holding my breath just yet.

  • Lisa2012
    Lisa2012 Member Posts: 142
    #5
    PatchAdams said:

    Liver mets

    I'd really encourage you to read these links before having the mets removed via radioabalation. 

     

    http://archsurg.ama-assn.org/cgi/content/abstract/141/5/460

    http://www2.mdanderson.org/depts/oncolog/articles/11/4-5-aprmay/4-5-11-2.html

    Thanks

    I appreciate you providing the links, I will read this so that I have better information for the consult on the 14th!

  • sdp
    sdp Member Posts: 181
    #6
    Lisa2012 said:

    Thanks

    I am excited....I would love to be declard NED but not holding my breath just yet.

    Liver mets

    I have been told that resection is the best option for the liver met - I tried hard to have microwave ablation to my liver met but the doc insists on resection - the surgery was postpone for some reason or other as the dr was busy / emergency / his trip to japan etc  - so now we have rescheduled it for mid April sometime.

     

  • Lisa2012
    Lisa2012 Member Posts: 142
    #7
    sdp said:

    Liver mets

    I have been told that resection is the best option for the liver met - I tried hard to have microwave ablation to my liver met but the doc insists on resection - the surgery was postpone for some reason or other as the dr was busy / emergency / his trip to japan etc  - so now we have rescheduled it for mid April sometime.

     

    I had a liver resection on March 5, 2013.  It is a great option, I am happy that you have it scheduled.   Mine went well and I recovered quickly, I returned to work the first week of April.   I think the thing that surprised me most was the length of my scar.  162 staples long!   At this point it isn't an option for me.

  • Chelsea71
    Chelsea71 Member Posts: 1,169 Member
    #8
    I have not heard of this

    I have not heard of this treatment.  Just wanted to say good luck and please keep us updated.

     

    Chelsea

  • Lisa2012
    Lisa2012 Member Posts: 142
    #9
    Chelsea71 said:

    I have not heard of this

    I have not heard of this treatment.  Just wanted to say good luck and please keep us updated.

     

    Chelsea

    Thanks Chelsea

    I appreciate that

  • sdp
    sdp Member Posts: 181
    #10
    Lisa2012 said:

    Thanks Chelsea

    I appreciate that

    Ask for microwave ablation

    There seem to three or more types of ablation popular now - radio frequency, irreversible electroporation and microwave , apart from cryogenic ablation etc.

    depending on the location etc of the tumor they may recommend a type of ablation - I did have both Rfa and ire so far - this time they  were to do a microwave ablation - and it was changed to resection ( yet to do it )

    i beleive that that these days microwave ablation has an edge over Rfa - u may also want to discuss this with the doc - pl also research this before u Go. 

    Sometimes he may recommend what equipment hospital has and what he is used to doing rather than what suits ur current treatment needs - so may be u would like to discuss it in depth. My research this time showed than MWA had a better response than RfA - had I known this earlier I would have certainly tried to persuade the doc for it.

     

  • Lisa2012
    Lisa2012 Member Posts: 142
    #11
    sdp said:

    Ask for microwave ablation

    There seem to three or more types of ablation popular now - radio frequency, irreversible electroporation and microwave , apart from cryogenic ablation etc.

    depending on the location etc of the tumor they may recommend a type of ablation - I did have both Rfa and ire so far - this time they  were to do a microwave ablation - and it was changed to resection ( yet to do it )

    i beleive that that these days microwave ablation has an edge over Rfa - u may also want to discuss this with the doc - pl also research this before u Go. 

    Sometimes he may recommend what equipment hospital has and what he is used to doing rather than what suits ur current treatment needs - so may be u would like to discuss it in depth. My research this time showed than MWA had a better response than RfA - had I known this earlier I would have certainly tried to persuade the doc for it.

     

    Thank you

    I appreciate your feedback.   I will discuss at my consult on the 14th.  

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