Anyhow, I asked the usual questions about treatment and here's where it gets a little more challenging. We can't clearly see how much (or little) room I have from the tumor to the portal vein. RFA is unlikely because the portal vein would be a heat sink. Surgery would be "tricky" but the good doctor did not rule it out. And SRS would come with concerns about the radiation doing damage to the portal vein. So, my question to the HIPECkers would be how many of you failed out of chemo and still had HIPEC? FOLFOX worked for me for a while, but the tumor came back later. FOLFIRI didn't work for me - cancer came back with new mets while I was on this regimen.
The good news is that this blasted thing is slow-growing, although that's been my brand. Slow-growing but persistent. It keeps wanting to come back. But the slow growth means that theoretically I have a little more time to look at the options and decide on a course of action (not that I'm going to lollygag). Ha! I love that word. I know, I'm a dork. As you can see, my spirits are fine. I figured that at some point it was likely to come back. It was more of a when than if I think. So we go back to the very odd routine of hurry up and wait with pauses in between to shuffle the feet forward with blood draws, biopsy, results, etc. until I get to determining what's next. Kind of mind-numbing, like standing in line at the DMV. Only in my line, I'm making stops at some local wineries (I'm just a skip from Napa) and taking advantage of this Indian Summer with wine and charcuterie tasting. I was given the ok to do so. In fact, I was told to have an extra glass.
)