mpbser wrote:Update:
So, we met with husband's oncologist on Friday. As expected, she first recommended FOLFOX which husband was not very happy about. The idea of a port and pump terribly disturbs him. He asked if there were any alternatives and oncologist spoke about Xeloda. We then asked if one was medically preferable over the other and we were told no. The oncologist said there were no comparative studies, but there was at least one very recently cited here in this forum. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2409640/ Based on this, and the fact that we have received forewarning here about how some doctors lean towards infusions because they are more lucrative for their practice than pills, I don't entirely trust this oncologist. My husband also remains skeptical and wary.
Because the liver biopsy came back positive, the next step is for him to have a liver MRI and a full-body PET. The oncologist will be scheduling them for mid to late June, four weeks post-surgery. He may need liver surgery or the alternative radiofrequency ablation (RFA). As soon as the MRI and PET results are available, we will be going to Dana Farber for a second opinion.
My only concern right now is the MRI. He has "40-80" metal staples in his abdomen which, although are mostly titanium, could contain a small percentage of nickel. I had read that MRIs of patients with internal staples should not be done until at least 6 weeks post-surgery. Since husband is diabetic and healing slower than the average patient, I would think that 8 weeks would be the earliest. However, his oncologist dismissed my concerns.
I will start a new thread for the staple issue so the topic subject catches attention.
mpbser wrote:I just did some follow up research at asco.org, trying to find a citation for the information the oncologist gave us yesterday. (She claimed that the data was provided at a recent ASCO conference.) I have found nothing that supports her claims. Per my husband's request, I called her office and left a voicemail requesting the citation. I have a feeling there will be no response.
“In 2017, there is now a wide range of treatment options for the first-line therapy of mCRC [25]...”
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