it's back in two months after TACE and MWA to liver mets

You are going through the mill for sure. 

I am sorry that new mets have appeared, and I hope that the next treatment works well for you. 

I can't help you with your question, but surely someone here will be along with some kind of advice. 

Keep strong. 

Sue - Trubrit

I had an answer for you, but I have no idea about TACE or SIRT.  Hopefully someone will know. Wishing you th best of luck in this unknown journey.

Winter Marie

I am sorry I forgot to respond to your PM. To answere your question above about ablation. They will scan you 1 month after SIRT to see how you responded. If you show response you could keep responding up to 6 months from the one dose. I had scans done every 2 months after the first scan and had ablation done to the tumor 5 months after SIRT. I wanted to obtain maximum shrinkage on the liver tumor to optimise the response to the ablation but I didn't want to wait to long and risk the tumor starting to grow again. It is a tight window of opportunity.

sdp said:

thanks for all responses

The procedure went of well - another dr did the final procedure as the head of dept was on leave and he had done the mapping and embolisation of certain vessels so that the sirt doesn't leak to other organs.

Well the fresh set of eyes and perspective had a positive outcome as he found another vessel to GI tract that he had to embolise -

So it got all delayed but worth it for me. Managed to prevent or avoid any other issue later.

I feel fine and meds to keep it all under control seems to be doing their job. So it has been much better than my expectation and imagination ( sometimes we worry much prior to the procedure and have all kinds of things in mind)

U have asked about the post treatment - they suggest scan in 6 to 8 weeks and then take a call. No chemo recommended.

Dear Janderson - would the ADAPT option be worth evaluation and implementing ? Seems I am following thru all the procedures that u have been through - so ur posts have been of help to me immensely. Thanks for that. 

 Also the dr is suggesting weekly blood test for the liver values as that they want to monitor "just in case ".

 

I think ADAPT is worth looking into. I was doing ADAPT and irinotecan one week on one week off between SIRT and ablation with good results. I just started ADAPT only but two weeks on and one week off. I am on my tenth day and it is very doable. I have little to no side effects. Just occasional mild upset stomach but i have stomach issues already from my enlarged spleen.

Holdtight said:

Similar Situation

Hi!  I just had an ablation in the upper right lobe of my liver - this is the 4th ablation for me.  This met was quite large and I did feel it tugging across my side with pain radiating and since the ablation discomfort has subsided. I will need to follow up in 4 weeks with a CT Scan or MRI.  However, before this 4th attempt the radiologist recommended the SIRT to me. Giving me some brochures to read.  Reading your comment today has given me hope if this procedure needs to be done.  Did they have to go into the groin to insert a cath to project the radiation.  This kind of scares me to have this done.  also, I have two rather large scars on the liver from the previous ablations do you know if the damage is more receiving the radiation verses the ablations.  Thanks so much for your input and I wish you all the best in your recovery.  

They go through the groin twice. Once for mapping and embolisation then for the radioactive beads at a later date. Dont let it scare you. I thought it was much easier than the liver ablation. I dont know if i can answer your second question accurately. I didnt have any ablations before SIRT but I did have 3 liver resection surgeries which changed the whole anatomy of my liver through the regeneration process.