Hi all. Just wanted some advice.
Update: I have been on Keytruda 200mg every 3 weeks sine March. Since then scans have improved. Extrahepatic (supraclavicular, cardiophrenic, periportal) nodes have regressed. 2 main liver tumors remain, slightly smaller and less enhancing on MRI. No activity on PET. However the fact that they are still there bothers me. I know that in some cases they disappear and in some they merely become stable.
Short of another hepatic resection (I have had 2) I am considering some form of local therapy. Choices are SIRT vs RFA. I have heard that RFA is better in tumors less than 3-5 cm size. Unfortunately the larger of the 2 tumors is 3 x 6 cm. I am considering SIRT to shrink OR completely kill the tumors and if ever follow through with RFA. Has anyone tried this path? Thanks.