Hello and sorry that we are all here.
My dad’s latest CT scan showed 5 to 6 tiny spots in the lungs. His oncologist said that if there were fewer spots, he would suggest surgery, but with this number of spots, he’s recommending mild chemo instead. He said that we pursued aggressive treatment after the original diagnosis (4 liver mets) because we had a curative intent, but he no longer thinks my dad’s cancer is curable and would prefer to focus on maintaining QOL for as long as possible.
I don’t currently have the CT scan report, so I don’t know much about the location of these spots and their exact sizes.
I’m not quite sure what to think. I feel like we are giving up by not exploring ablation or surgery or more aggressive chemo, but at the same time, I want to be realistic. From this forum, I have read about laser lung surgeries in Germany & UK, but I am not sure if we can afford that or if my dad would even be willing.
My dad has been enjoying NED status since early 2015, taking road trips to national parks and living fully. He says he feels great. He still has several trips planned, so he asked for a re-scan in two months and start chemo then. The doctor is fine with that.
I would appreciate any advice, encouraging words, your experience with lung mets. I’m looking for hope — my tears don’t seem to stop.
Daughter to Dad age 67 @dx, Dec. 2013 (now 73)
Stage IV cecum, 4 liver mets, CEA 21.8
MSS, KRAS mutant (G13D), MLH1 mutant (V384D), and TP53 mutant (G245S)
1/14 FOLFOXIRI, 2x
2/14 FOLFOX, 1x
3/14 Right hemicolectomy, 2/38 nodes
4/14 FOLFOX, 4x
8/14 Liver resection
9/14 Liver tumor growth: microwave ablation
10/14 FOLFIRI, 6x
2/16 8 to 10 lesions in lungs
3/16 Avastin + 5FU, 72x
4/19 Growth in lungs, lymph nodes. FOLFIRI + Avastin, 4x (CEA 12.4)
7/19 Started Stivarga + Opdivo
10/19 Start Hospice