lymp nodes to close celiac artery and inferior vena cava

[suzsmith]

Things are really changing fast..... My DH had colon resection of ascending colon in Aug of 2013 T2NOMO dx as stage 1, ct in December showed a 1 centimeter spot on liver but biopsy was negative so the watch and see wait game and now the spot on liver grew to 2 centimeters per mri in March. Oncologist ordered pet and spot lit up as well as 1 lymp node next to celiac artery and 1 lypm node next to inferior vena cava in liver. Surgical Oncologist said we can do a lap wedge resection on liver with a 50/50 chance of that it maybe open surg because tumor is in posterior seg 7. Surgery is scheduled for this wed April 17th.

Regarding the lymp nodes they are to close to the arteries to be safely removed so treatment plan is 6 months of chemo after liver surgery. She also informed us that typically when these lymp nodes are involved they are not usually responsive to treatment, but since we have to leave them they will be a good indicator with future scans to see if they respond to initial chemo.

My DH recent lab shows cea rising and his creatine (prob spelled that wrong lol) increased to 1.7 which could be just dehydration?? Labs will be done morning of surgery to make sure creatine levels are ok or no surgery. I can't find much information on cases like ours and would appreciate any advice or info anyone could share.

[gep]

I almost didn't answer you because I didn't want you to see that my husband died last summer. However, he had a very good response to folfox and avastin with celiac lymph node involvement. It didn't last, but it worked for a while. I recommend that he go to a major cancer center like MD Anderson or Sloan Kettering and get another opinion for now and for future use.
All my best.
Gloria

[rp1954]

You might want to search out and read up on the CA19-9 and cimetidine discusions here. Also PSK and celebrex. Specialized or aggressive surgery may require particular surgeons or cancer centers, so "no" can mean "next" doctor.

[tchan8888]

I am an olymphian. Multiple LN mets. No organ involvement. For information on this topic on this site, would use the search term "olymphian." This will give you posts by all of us who have had to deal with LN issues. I am n chemo for life and am not operable given the extent of the LN involvement.

My goal is to ride the chemo as long as I can.

Blessings,

Tom