Postby singingholly » Tue Feb 03, 2015 3:44 pm
Today CT scan showed progression: slight increase in dimension and number of pulmunar mets, both lungs; pleural involvement and what's worst RIB involvement (directly by the pleura touching it: nineth rib, right side); sternal nodule (probably a metaststic lymph node).
The good things are the lesions previously locally treated with surgery or sbrt (abdominal lymph node, diaphragm and of course liver) which even without a systemic therapy are all gone.
Now I guess a turn of the screw is needed... maybe folfoxiri and radio on the rib... then maintainance? Metronomic chemo? Immuno trial? Sbrt o rfa here and there where suitable...?
Pleura... gosh...
Dec2011 sigm IIIst res T3N1(2/18)M0 Xelox
Oct2012 5liv.mets Dec 2012 liv.res
Jan2013 1liv.met Folfiri+avastin
Jul2013 liv.res Folfiri+/av
Feb2014 10+2lu.mets & 1abd node Folfoxiri+SBRT
Sep2014 Res rx l. BUT spot on diaph:SBRT
Dec2014 3+6lu.mets.Immuno