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ct results - a little confused?-anyone?

Posts: 1048
Joined: Jan 2007

So we got the results of hubby's ct last week. Everything is "stable" , no more shrinkage , but no progression either, which is I guess "good news" at least that's what I prefer to think. Onc says maybe time to check with someone about liver mets options, since chemo is keeping it in a "holding pattern" right now, which we plan on doing. We are having ct put on cd to be reviewed elsewhere. But I'm a little confused. He has 5 mets supposedly, the largest is about 1.3 cm
and 2 more that are 9 mm and 2 that are 4 mm. Onc says the little ones might be "dead" and just appear on ct" but there is no way of telling since a PET only picks up under 1 cm ? and CT doesn't show if active. So what the heck ??? You mean to tell me the little ones could be dead, but we just won't know? This is a bit difficult for me to comprehend, because I can't believe there is no way to tell. Anyone have any thoughts on this? ( apparantly they are too deep in liver and too small to biopsy)
Also thanks to all who responded to my post. God Bless.

apache4's picture
Posts: 272
Joined: Jul 2007

I won't be any help because I have the same questions. After 15 treatments I have been stable for about six months now. Still getting the 5-fu, Oxaliplatin, Leuvoricain and Avastin. I have tumors too numerous for them to count with the largest being 3cm. I would also know if some of them have died, etc. I will follow this thread...I am also asking my onc. more questions Monday. I figure that maybe they don't know either :) I was diagnosed in May of 2006.

Posts: 304
Joined: Dec 2005

A great source to understand all your options with the liver is www.upmclivercancercenter.com. The doctor on the site is the one that did a liver resection and ablation for my husband in 12/04. Although he has had a reoccurence, there is still nothing in the liver. I know they have many more options now with liver mets that are inoperable. If you have any questions - let me know. Good luck. You are in my thoughts and prayers.

jams67's picture
Posts: 927
Joined: May 2006

I had 3 mets, and one didn't show up until they were doing the surgery and used ultrasound on it. The surgeon had checked the CT and PET before surgery and found 2 in the left lobe but was not expecting another in the right. He removed all of the left lobe and part of the right. I'm now NED for the last 2 years. Just be sure you have a surgeon who knows a lot about livers.
Jo Ann

robinvan's picture
Posts: 1014
Joined: May 2007

I've had liver resection, right lobe (Oct 2004); and RFA to treat a small recurrence in "caudate lobe" (Mar 2007). I think it sounds really positive that they want to look at liver options now. You're husband will want to get to a good liver surgeon with resection and RFA capacity. Sometimes they can do a combination resection/RFA. Check out the site Dash referred to. It has good info on the options.
I hope a surgical option works out. Be Hopeful!

Monicaemilia's picture
Posts: 455
Joined: Nov 2006

Hi Diane: I just had a PET scan done and apparently tumours under 1 cm are not always detected. I have two nodules in the lungs that do not light up, and they figure it is because they are too small. I´m going to be optimistic and think that they don´t light up because it is not cancer.

Definitely get a different opinion. I had to travel across the globe, but I will be having surgery in the next couple of weeks to resect. Worse case scenario will be radiofrequency ablation, two things my surgeon in Canada would not do. Take heart, and don´t give up. Monica

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