We did things differently on surgery, testing, chemo and chemistry. The metastatic para-aortic lymph nodes, in a conglomerated cluster, were dissected near the aorta above the renals in under 45 minutes with two highly skilled surgeons, in their 50s. One I think of as "Zorro", he had had lots of PALN dissections for ovarian cancer and is reknown for his speed. Historically surgery on para-aortic lymph nodes was not done because drs thought disemination made surgery futile - this is not correct, especially with limited sites of mets and with continuous, effective mild oral chemo. To get the surgery, we were turned down several times, so I worked to improve the background information, presentation and summary each time.
We had chemo sensitivity tests done for ordinary chemo and 5FU with heavy duty vitamin C and K2 (MK4), to follow up on some research papers. The select heavy
vitamins + 5FU did better.
1. We administer oral chemo every day with celecoxib, PSK and selected heavy cancer inhibiting supplements to stop spread and to inhibit active sites as much as possible.
2. We used cimetidine liberally before, during and after surgery; oral chemo in therapeutic blood levels up to 12 hours (!) before surgery.
3. CA199 can be an important treatment marker for KRAS/BRAF mutants, and MCV for chemo in general. CA199 is better behaved with immunochemo, anti-inflammatories and supplements vs unsupplemented Folfox or Folfiri patients.
4. We use IV vitamin C especially on elevations of CA199, AFP and / or inflammation (ESR or hsCRP), along with menatetrenone, human vitamin K2.
Now, before chemo, is an important time for extra blood tests
for better biological information, useful long term. You can order them, on the phone or internet, from national labs or Life Extension Foundation, yourselves, avoiding the common delays or conflicts with insurance or "std care only" drs.