Best place to undergo Nanoknife for liver mets?
Best place to undergo Nanoknife for liver mets?
Damn liver mets causing all sorts of problems. Want to pursue IRE (Nanoknife). Any suggestions? US or non US is ok.
St. IV Colon CA @ 37, male, Kras wild, MSI-high (2014)
11/2014 Right Hemicolectomy + Liver Resection
12/2014 - 6/2015 FOLFOX + Cetuximab
10/2015 - Recurrence liver
Liver resection 10/2015
FOLFIRI 11/2015 - 5/2016
Recurrence liver, nodes 11/2016
Pembrolizumab started 12/2016 -> pseudoprogression(?) -> biliary obstruction -> biliary stenting
Chemo 4x: most mets inactive and smaller on PET-CT
March 2017 - Back on Pembrolizumab again
Sept 2017 - SIRT - > NED
2019 NED
11/2014 Right Hemicolectomy + Liver Resection
12/2014 - 6/2015 FOLFOX + Cetuximab
10/2015 - Recurrence liver
Liver resection 10/2015
FOLFIRI 11/2015 - 5/2016
Recurrence liver, nodes 11/2016
Pembrolizumab started 12/2016 -> pseudoprogression(?) -> biliary obstruction -> biliary stenting
Chemo 4x: most mets inactive and smaller on PET-CT
March 2017 - Back on Pembrolizumab again
Sept 2017 - SIRT - > NED
2019 NED
Re: Best place to undergo Nanoknife for liver mets?
One of the best, if not the best, I heard of over the years about is Dr Fred Moeslein, who was/is at University of Maryland. http://fredmoeslein.com/
http://umm.edu/programs/diagnosticrad/s ... /nanoknife
But if location is not a problem, maybe you could check if focused ultrasound surgery might be feasible. Even less invasive. I bumped a thread about it for you.
http://umm.edu/programs/diagnosticrad/s ... /nanoknife
But if location is not a problem, maybe you could check if focused ultrasound surgery might be feasible. Even less invasive. I bumped a thread about it for you.
Re: Best place to undergo Nanoknife for liver mets?
Thanks Maia
St. IV Colon CA @ 37, male, Kras wild, MSI-high (2014)
11/2014 Right Hemicolectomy + Liver Resection
12/2014 - 6/2015 FOLFOX + Cetuximab
10/2015 - Recurrence liver
Liver resection 10/2015
FOLFIRI 11/2015 - 5/2016
Recurrence liver, nodes 11/2016
Pembrolizumab started 12/2016 -> pseudoprogression(?) -> biliary obstruction -> biliary stenting
Chemo 4x: most mets inactive and smaller on PET-CT
March 2017 - Back on Pembrolizumab again
Sept 2017 - SIRT - > NED
2019 NED
11/2014 Right Hemicolectomy + Liver Resection
12/2014 - 6/2015 FOLFOX + Cetuximab
10/2015 - Recurrence liver
Liver resection 10/2015
FOLFIRI 11/2015 - 5/2016
Recurrence liver, nodes 11/2016
Pembrolizumab started 12/2016 -> pseudoprogression(?) -> biliary obstruction -> biliary stenting
Chemo 4x: most mets inactive and smaller on PET-CT
March 2017 - Back on Pembrolizumab again
Sept 2017 - SIRT - > NED
2019 NED
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Stanfordmom
- Posts: 612
- Joined: Wed May 14, 2014 1:32 am
Re: Best place to undergo Nanoknife for liver mets?
I know Dr. Steve Solomon at Sloan Cancer Center in the New York City does IRE for liver. I think he did it on one of the liver mets for our member Cynthia, and it worked out pretty well.
maybe search the forum for his name and see if you can get more info. Best wishes for your upcoming treatment!
maybe search the forum for his name and see if you can get more info. Best wishes for your upcoming treatment!
DX 4/2/2014 at 44, stage 4, mets liver and ovaries
Mom to 2 boys
Three surgeries, HAI pump and lots of chemo
fighting!
Mom to 2 boys
Three surgeries, HAI pump and lots of chemo
fighting!
Re: Best place to undergo Nanoknife for liver mets?
Stanfordmom wrote:I know Dr. Steve Solomon at Sloan Cancer Center in the New York City does IRE for liver. I think he did it on one of the liver mets for our member Cynthia, and it worked out pretty well.
Oh, yes, Sha! I already told plastikos about how Dr Solomon was amazing for Cynthia, performing IRE: viewtopic.php?f=1&t=56605#p447663 (BTW, plastikos, in that prior post I've mentioned that user vilca had IRE done in other place --she went, precisely, with Dr Moeslein, who treated some very difficult located mets).
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vilca11
- Posts: 730
- Joined: Fri Feb 14, 2014 11:19 am
- Location: Moscow, Russia; Baltimore, USA 1992; Vilcabamba, Ecuador 2012
Re: Best place to undergo Nanoknife for liver mets?
Yes, my dear Maia, he did, but what a nightmare it was for 2 mo after that... and, besides, it did not help... So, no, ONLY dr. Solomon in Sloan... he was upset I've done it with Moeslein, said that I should not have...
Vilca
Vilca
11/2005 CC stage 1, F,50yo@dx
Mod dif adenocar, MSS, APC, TP53, CEAs1.6-4.8
1/12 1met liver@Vena Cava, RFA, 3oxi,11 5FU
8/13 2 mets same place,SBRT
4/14 2 Xeliri+Avastin
5/14 Nano Knife liver same 2 mets
6/14 2 Xeliri, ADAPT
4/15 PET, 2 same mets,Cryo Liver
5/15 MJ Oil, Herbs, Suppl, ADAPT
10/15 PET, same area, doubled in size, high SUV
10/15 RH, HAI, visceral involv., no LN
2/16 red FF, 50% red dose FUDR, CEA trends up
3/16 CT, PET, MRI L.Lobe all in small tumors
4/16 No acceptable options, going home
Mod dif adenocar, MSS, APC, TP53, CEAs1.6-4.8
1/12 1met liver@Vena Cava, RFA, 3oxi,11 5FU
8/13 2 mets same place,SBRT
4/14 2 Xeliri+Avastin
5/14 Nano Knife liver same 2 mets
6/14 2 Xeliri, ADAPT
4/15 PET, 2 same mets,Cryo Liver
5/15 MJ Oil, Herbs, Suppl, ADAPT
10/15 PET, same area, doubled in size, high SUV
10/15 RH, HAI, visceral involv., no LN
2/16 red FF, 50% red dose FUDR, CEA trends up
3/16 CT, PET, MRI L.Lobe all in small tumors
4/16 No acceptable options, going home
Re: Best place to undergo Nanoknife for liver mets?
I do remember what a hard time you had, dear Stella, but... was it for lack of expertise from this doctor, or just it was a difficult spot/procedure? And do you say that it didn't work because of recurrence? (Because, if that is the case, one has to consider that, sadly, that happens, often, despite everything).
Just curious but, yes, maybe better with Dr Solomon, plastikos.
Just curious but, yes, maybe better with Dr Solomon, plastikos.
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