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Re: Stage 4 to NED- Please tell us

Posted: Tue Oct 16, 2018 7:52 am
by tater
See my wife's signature we are coming up on our one year anniversary of NED in a couple of weeks, we just had another clean CT and MRI of liver.
Find a good surgeon that you can trust.

Re: Stage 4 to NED- Please tell us

Posted: Tue Oct 16, 2018 8:03 pm
by teacher2017
mpbser wrote:Spazzyjanet,

Good to hear that he is having an MRI. I have to advocate for my husband to get them instead of CTs as his CTs never picked up on his liver tumor. (I honestly don't know why the oncologist had ordered a CT in May when he originally said that surveillance was going to be with MRIs.) The gold standard is abdominal MRI for liver mets and Chest CTs to watch out for lung mets. That is what we are having done this fall.

With the best care you can possibly get and super strong advocacy, that 40% can get bumped to 80%. I'm definitely not the most well liked patients' spouse by his doctors, but I'm always making sure that my husband is getting the best treatment the medical system can provide (within our means).


I read that after a successful resection you go up to 50 percent and can be cured if it doesn’t return. Where did you get that 80 percent number?

Re: Stage 4 to NED- Please tell us

Posted: Sat Oct 20, 2018 8:11 am
by dianetavegia
I was Stage III from Jan. 2009 to Feb. 2012 when a liver met was found. It was 1.5 cm but smack dab middle of the back of the liver so the surgeon took 80% of the large side of the liver in April 2012 with no follow up chemo.

As of 5 a.m. this morning when my Chest CT and Abdominal / pelvic scans were released I remain CANCER FREE Stage IV for 6 1/2 years since the resection and total of 10 years in January.

TRUST, HOPE, FAITH, PRAY and never give up! I am so thankful for the 10 years God has given me. I'm 68 in December and other than my thyroid (controlled by meds), I'm in perfect health. Plump but healthy!

Re: Stage 4 to NED- Please tell us

Posted: Sat Oct 20, 2018 2:56 pm
by mpbser
teacher2017, I was only speculating. Apologies for being misleading.

Re: Stage 4 to NED- Please tell us

Posted: Sun Oct 21, 2018 9:07 am
by String
Eleven years this coming Tuesday.
Stage IV with liver mets and also kidney cancer to boot.
4 surgeries and 24 treatments my cea is now 2.3 and is holding steady for 5 years now since last treatment.
Still undergoing yearly check now.

There is always hope.

Re: Stage 4 to NED- Please tell us

Posted: Sun Oct 21, 2018 9:30 am
by WarriorSpouse
The two things as a supporting spouse I can offer are the following:

1. You are surrounded here primarily of surviving Stage IV patients and supporting spouses. Learn from them through reading their posts by using the search function under "quick links" above.

2. Now that you are Stage IV, you should seek advice from a major cancer center to get on an aggressive treatment plan. If you are in the U.S., your insurance will pay for the proposed treatment plan (minus your deductible). They will support the aggressive treatments to get you back at NED status. Do not linger or hesitate and go to a major center like Dana Farber/Boston, MSK/NYC, or MD Anderson/Houston. Get on a plan and get on the roadway to NED again. It is possible to get there but follow the plan and keep advocating for yourself by reading what others have learned here on this forum.

Best wishes going forward.
WS

Re: Stage 4 to NED- Please tell us

Posted: Sun Oct 21, 2018 9:44 am
by stu
Actually warrior spouse I totally ageee . I got informed from here and sought out those windows of opportunity where they presented themselves . Sought surgical opinions and thankfully mum was up for this .
I have seen people very reluctant to do this and the window slides by . So sad .
Stu

Re: Stage 4 to NED- Please tell us

Posted: Sun Oct 21, 2018 3:28 pm
by Spazzyjanet
I've noticed that many of the successful Stage 4's used Avastin in their FOLFOX regime.

I am still waiting on the genome test on the tumor for that, BUT I ran my raw data file from 23 and me through a site called selfdecode.com and it says that I have an snp that is associated with shorter overall progression-free survival on this drug (Avastin) and now I am pretty scared.

Will the tumor genome test show the same thing as my raw data file? Or are these different altogether? If so, is that going to significantly decrease my chances?

Re: Stage 4 to NED- Please tell us

Posted: Tue Oct 23, 2018 8:42 pm
by dianetavegia
I had no Chemo after my liver resection and today was offered 2 choices. One was a big hug and discharge or a big hug and one more CEA in Oct. 2019. I opted for the final CEA in a year. There are many studies that show cure is possible after surgery for certain size, location etc. mets. I’m living proof. Those recurrence free 6.48 years after a liver resection are considered cured with 99% certainty.

Re: Stage 4 to NED- Please tell us

Posted: Thu Oct 25, 2018 6:50 pm
by cartech78
Hi all, I am new here as of today and this is my first post. I was just diagnosed with stage 4 CRC on 10/5. I am a 40 year old male. I went for a colonoscopy due to stomach issues and woke up from that procedure with my wife standing over me crying her eyes out and being told i had to go straight to hospital for an emergency surgery as my colon was 98% blocked. They did a bunch of CT scans on me and said i had 6 or 7 mets on my liver and sent me straight to colon Resection surgery. The surgeon removed a tumor the size of a baseball from my left side colon with clean margins. I have since been told my liver is not operable to remove the cancer from there. I am almost three weeks out now from that surgery and got my port installed today for Chemo which they want to start Monday the 29th. So far the only good news i have received is the Mayo clinic is having me come out to MN on 1/8/2019. I want to thank everyone who took their time to post their story on this post as it has given me the most hope i have had since diagnosis. I am having a hard time even looking at my sweet 8 yo daughter without breaking down into tears. This post has helped immensely. Thank you all.

Re: Stage 4 to NED- Please tell us

Posted: Fri Oct 26, 2018 6:26 am
by Spazzyjanet
Welcome to the club. I hope that that the Mayo Clinic has a plan for you. Please check in with us to let us know how things go.

I got admitted to the hospital and had a resection due to Colon blockage (I actually went to an ER with what I thought was a stomach bug). I still didn't find out that Ihad 6 liver mets until 2 weeks after leaving the hospital and a full month after my colon resection. It was a blow, given that I was already scared about my chances before that.

Right now, I have a surgeon locally who thinks that I am a candidate for resection and/or ablation but I am doing chemo first and hoping that the story doesn't change once I do my first set of scans in a couple of months. I am also getting second opinions from both Onc and Surgery at a larger/ more reputable center durt the week of the 5th. Here's to modern medicine hopefully getting us both back to NED and staying there like these other folks.

Re: Stage 4 to NED- Please tell us

Posted: Fri Oct 26, 2018 8:56 am
by cartech78
Amen to that!!!

Re: Stage 4 to NED- Please tell us

Posted: Sat Oct 27, 2018 4:06 pm
by LPL
Spazzyjanet wrote:I've noticed that many of the successful Stage 4's used Avastin in their FOLFOX regime.

I am still waiting on the genome test on the tumor for that, BUT I ran my raw data file from 23 and me through a site called selfdecode.com and it says that I have an snp that is associated with shorter overall progression-free survival on this drug (Avastin) and now I am pretty scared.

Will the tumor genome test show the same thing as my raw data file? Or are these different altogether? If so, is that going to significantly decrease my chances?

Hi Spazzyjanet, first let me say that I have not been here for a while (taken a paus to enjoy life..). My husband is NED, his Onc said ”you have a new body” last time we saw her. If everything is good next checkup (in January) they will remove the port. Of course I do not know for sure but my husband has changed things in his life. How much can a new regiment of 1.5hours walk each morning do? He also now eats a Lot of tree nuts. Studies have shown that both these things are positive. See my signature for his journey so far.
About the 23and me. When hubby was diagnosed I tried hard to check if he had SNPs that could make him react extra bad to the chemo. I found some but not the Very Bad. He reacted Very Bad to the steroids though (see signature). I believe that the most important gene info is what you get from testing the tumor! This is what will decide what kind of chemo to use to best beat this xxx.
All the best to you and thank you for posting your question! A Lot of NED people/caregivers have replied and it is so good to see :)

Re: Stage 4 to NED- Please tell us

Posted: Mon Oct 29, 2018 6:59 pm
by teacher2017
cartech78 wrote:Hi all, I am new here as of today and this is my first post. I was just diagnosed with stage 4 CRC on 10/5. I am a 40 year old male. I went for a colonoscopy due to stomach issues and woke up from that procedure with my wife standing over me crying her eyes out and being told i had to go straight to hospital for an emergency surgery as my colon was 98% blocked. They did a bunch of CT scans on me and said i had 6 or 7 mets on my liver and sent me straight to colon Resection surgery. The surgeon removed a tumor the size of a baseball from my left side colon with clean margins. I have since been told my liver is not operable to remove the cancer from there. I am almost three weeks out now from that surgery and got my port installed today for Chemo which they want to start Monday the 29th. So far the only good news i have received is the Mayo clinic is having me come out to MN on 1/8/2019. I want to thank everyone who took their time to post their story on this post as it has given me the most hope i have had since diagnosis. I am having a hard time even looking at my sweet 8 yo daughter without breaking down into tears. This post has helped immensely. Thank you all.


Hi there! I know this is overwhelming and frightening. We all understand it well. Know that you can beat this. Focus on doing every chemo and staying healthy. Be as normal as possible. People handle this as a chronic illness not a terminal disease. The objective is to operable. Look into the Hai pump and ask a million questions. You can do this. Focus and get into the game. That 8 year old needs to see you fight. Stay in touch...

Re: Stage 4 to NED- Please tell us

Posted: Mon Oct 29, 2018 7:25 pm
by cartech78
teacher2017 wrote:
cartech78 wrote:Hi all, I am new here as of today and this is my first post. I was just diagnosed with stage 4 CRC on 10/5. I am a 40 year old male. I went for a colonoscopy due to stomach issues and woke up from that procedure with my wife standing over me crying her eyes out and being told i had to go straight to hospital for an emergency surgery as my colon was 98% blocked. They did a bunch of CT scans on me and said i had 6 or 7 mets on my liver and sent me straight to colon Resection surgery. The surgeon removed a tumor the size of a baseball from my left side colon with clean margins. I have since been told my liver is not operable to remove the cancer from there. I am almost three weeks out now from that surgery and got my port installed today for Chemo which they want to start Monday the 29th. So far the only good news i have received is the Mayo clinic is having me come out to MN on 1/8/2019. I want to thank everyone who took their time to post their story on this post as it has given me the most hope i have had since diagnosis. I am having a hard time even looking at my sweet 8 yo daughter without breaking down into tears. This post has helped immensely. Thank you all.


Hi there! I know this is overwhelming and frightening. We all understand it well. Know that you can beat this. Focus on doing every chemo and staying healthy. Be as normal as possible. People handle this as a chronic illness not a terminal disease. The objective is to operable. Look into the Hai pump and ask a million questions. You can do this. Focus and get into the game. That 8 year old needs to see you fight. Stay in touch...

Thank you very much, had my onc call MSKCc today for referral