Postby juliej » Wed Feb 05, 2014 2:35 pm
Fighter2012, my heart is with you. I was diagnosed right off the bat with Stage 4 in my liver and lungs nearly three and a half years ago. I personally know the devastation you feel and wanted to offer you support and encouragement. I too have no family history of cancer and was diagnosed at a relatively young age. It helps to know that there are many Stage IVs on this board and we will give you as much advice and support as we can.
There are a couple of things you should find out. Ask your oncologist if you've been tested for KRAS and BRAF mutations. Approximately 30% to 50% of CRC patients have a mutated (abnormal) KRAS gene, which means they are unlikely to benefit from taking Erbitux or Vectibix. No use taking those drugs (and enduring the side-effects) if you have a mutated KRAS gene. Another 5% to 10% of patients have a mutated BRAF gene.There is data suggesting that mutated BRAF makes Erbitux or Vectibix less effective also. So it's important to have those tests done. You want whatever chemo you're taking to have the maximum effect that it can. And if you haven't already, you should also have Microsatellite instability (MSI) tests done, which show whether or not you have Lynch syndrome. (Lynch syndrome is an inherited condition that increases the risk of colon cancer and other cancers. Because it's hereditary, there's a 50% chance that a person will pass it down to one's children, which is why it's good to be tested if you have little ones.)
I know this is hard news to take, especially since you have two young children, but remember that researchers are making advances in CRC treatment every year. There may not be a cure for Stage 4 CRC yet, but remission and/or stability is possible. I hope sincerely that it is in your case. And there are some of us, like me, who were initially told that we were inoperable and went on to have successful resections. So put on your boxing gloves, get the chemo going, and start nuking those tumors! You might have an excellent response, which could buy you years of time with your kids (and time for new treatments to become available too!).
You also might want to consider getting a second opinion at a major cancer center (like MD Anderson, Memorial Sloan-Kettering, Mayo, Johns Hopkins, Dana Farber, etc.). In my case I went to MSK and they gave me options that weren't available at my local cancer center. I credit them with saving/prolonging my life.
Strength and courage to you. And come here anytime you want to talk, scream, cry, or rant. We GET it. We really do. Sending you and your family my love and prayers.
Hugs,
Julie
Stage IVb, liver/lung mets 8/4/2010
Xelox+Avastin 8/18/10 to 10/21/2011
LAR, liver resec, HAI pump 11/2011
Adjuvant Irinotecan + FUDR
Double lung surgery + ileo reversal 2/2012
Adjuvant FUDR + Xeloda
VATS rt. lung 12/2012 - benign granuloma!
VATS left lung 11/2013
NED 11/22/13 to 12/18/2019, CEA<1