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Is Ablation considered a surgery that can "cure"

abita's picture
abita
Posts: 407
Joined: Dec 2017

I feel like a lightbulb just went off. When oncologists say only liver surgery has the potential to be a "cure", does that include ablation? I think until this moment, I was thinking of it as just a quicker way to shrink the tumor than chemo, but if it has the potential to mean a longer, healthier life, I think I have to do whatever I can to get someone to use that on me.

mountainhiker
Posts: 54
Joined: Aug 2018

I discussed this option before I had my resection.  When done by an experienced radiologist, my understanding is that it can destroy a tumor and all its cells.  But it has to destroy the tumor and a few milimeters of good cells around it to make sure all bad cells are dead - not a problem as long as the person doing it does it correctly (just like getting clear margins during a resection).

You don't want the person who just got out of med school doing it - you want the doctor whose done a bunch.

mountainhiker

abita's picture
abita
Posts: 407
Joined: Dec 2017

My liver resection had clear margins, and here I go again :(

Twinzma
Posts: 121
Joined: Jan 2018

Ablation would obviously be the least invassive and I hope an option for you! But have you discussed a multi-stage Allps procedure with anyone? John Hopkins can do it in 3 phases where as most centers only do it in 2. By doing it in the 3 stages it opens the door to those who carry a larger tumor load. I have read a lot about alblation and yes it can bring a patient into NEDsville. Sadly this is not an option for my Jim, too much involvment. Even after ablation though mop up chemo would need to be preformed. 

abita's picture
abita
Posts: 407
Joined: Dec 2017

I have two, at my last scan, tumors. It is a recurrence. I am fine with the mop up chemo. My oncologist said, I don't think they can be ablated due to location, but i have not talked to radiology yet. I have a second opinion with MSK the wekk after I start chemo. I am hoping that they have a very experienced person who can do it as I am not willing to accept only having a couple of years on maintenance chemo left. I am only 52. Thank you for your research!

Twinzma
Posts: 121
Joined: Jan 2018

MSK is definatley the place! You will get good news there I know it!!!Cool

 

Ruthmomto4's picture
Ruthmomto4
Posts: 510
Joined: May 2013

also size they must be under 5 cm 

it can be curative, absolutely yes! Let them tell you at Sloan, that’s who did my husband’s and it was in a tricky spot also. It was in the caudate lobe near his vena cava. He saw Dr Peter Kingham and he was experienced and not afraid like the dr here..

Trubrit's picture
Trubrit
Posts: 4399
Joined: Jan 2013

I personally don't believe in a cure, and I'm not looking for one. I am quite happy being NED, and hope to stay that way for the rest of my very long life. 

I had an ablation (thermal) four years five months ago, and have been NED ever since (next set of tests coming up). So I won't tell you its a cure, because its not a word I use, but I will tell you that it is working for me. 

A good liver surgeon should be the one who can tell you if you are or are not a candidate. My Oncologist wanted me to have a resection, but my liver surgeon said I was a great candidate for an ablation. 

I was aslo told that 2 cm was the limit for ablation, but I bet it depends on who you talk to. 

Good luck as you move forward and make decisions.

Tru

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