Liver metastasis and bile duct involvement

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pdp497
Posts: 41
Joined: Thu Jul 13, 2017 3:17 pm

Liver metastasis and bile duct involvement

Postby pdp497 » Sun Aug 06, 2017 10:49 pm

I was just told I need a bile duct stent placed due to blockage. I was told it may be from outside pressure from a tumor or a tumor in the bile duct. Has anyone experienced this? Did bile duct involvement complicate things? Any info would be appreciated.
Dx 7/17 stage 4 inoperable colon cancer with "numerous" mets to the liver (one large 2.6cm x 2.3 the rest 1 to 1.5 cm)
MSS
KRAS
8/4 CEA 240

BIG ROB 69
Posts: 63
Joined: Sun Aug 28, 2016 2:00 am
Location: Long Island, NY

Re: Liver metastasis and bile duct involvement

Postby BIG ROB 69 » Mon Aug 07, 2017 12:22 am

I have two stents...you can look up my history. I was getting jaundiced and had an infection that almost took me out.
3/18/2015 DX CC Stage3/4 49YO MALE IN NEW YORK
Inoperable...hepatic artery
11/15 oper to rem block...colon bypass
4/16 oper to remove scar tissue
5/16 Lynch pos.
10/16 Two bile tubes installed to relieve jaundice
So far I have done the three main chemo drug rounds and on 12/19/16 start Keytruda.
No chemo after 8/3/16 CEA: 10/14/16-409 12/19/16- 887 Mostly my CEA was in the 140-180 range.
CEA: 1/9/17-415 1/30/17-156.2 2/20/17-120.8 3/13/17-98 4/21/17-83.6 5/12/17-64.7 6/1/17-32.1
7/25/17-32.6

plastikos
Posts: 351
Joined: Wed Jan 14, 2015 6:09 am

Re: Liver metastasis and bile duct involvement

Postby plastikos » Tue Aug 08, 2017 11:55 am

pdp497 wrote:I was just told I need a bile duct stent placed due to blockage. I was told it may be from outside pressure from a tumor or a tumor in the bile duct. Has anyone experienced this? Did bile duct involvement complicate things? Any info would be appreciated.

Hi. I experienced this. I had a stent placed which clogged so I had to undergo re-stenting. I still have the stent and so far it is functioning properly. Your procedure will most probably be done endoscopically via ERCP. It is internal drainage to prevent bile stasis and cholangitis (infection) which can be life threatening. Hoping your procedure goes well.
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


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