gringo51 wrote: His initial recurrent lymph node states it is an interaortocaval node. The new ones are stated with one as same description and other as left paraaortic retroperitoneal lymph node. The dr really only stated more than one node negates surgery. Cea is 1.5. CA-199 is 7.55. He is MSS with no KRAS mutation detected.
Have you heard of reactive nodes to radiation? One can only hope.... They are having us wait till end of Oct for next scan.
Size or total volume of met counts because the body can only tolerate so much radiation. This maximum amount of radiation is divvied up on the tumor masses, so smaller is better. In our case the imaged mass was smaller than the conglomerated mass where the imaged mass was borderline for reliable kill and the actual mass was too large for reliable kill.
We used surgery for one big site with multiple nodes. One accessible LN site or one LN chain to surgically remove obvious LN mets is now acknowledged as beneficial, another additional site might be feasible but an uphill battle. The places that big medicine often trip up on are perioperative chemo plus metronomic immunochemo and supernutritional approaches to wound healing and recovery. Perioperative chemo with an effective metronomic immunochemo should best suppress LN mets, both existing and future seeding, with the least side effects. Increasingly remote LN locations require increased skills, from harder to find surgeons.