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New plan for para aortic lymph nodes. No surgery, radiation instead

Posted: Fri Oct 19, 2018 8:24 am
by CLD
I would like to start this post by commenting that I've recently seen many new people posting with lymph node metastasis. I hope that this post helps those people. Yesterday my husband met for the second time with Dr Bartlett at the Hillman Center. We were told that a multidisciplinary team of some of the world's best oncologists met and decided radiation would be the best course of action to treat my husband's para aortic lymph node metastasis. This was decided because there were three lymph nodes along the chain and not just one. They feel that with radiation a larger area could be targeted for treatment, assuming micrometastassis exist in other nodes. He will continue some sort of chemotherapy we are not sure yet what that will be until we meet with our local radiation oncologist later this month. My husband is very happy with this plan because it means he doesn't have to have surgery, but can still expect a positive outcome. The doctors are very excited for my husband and really feel like this will give him at the least another long-term period Of remission. The radiation oncologist mentioned that the type of radiation used would be sbrt therapy. If I have this all straight this is really new territory for colon cancer. He told us that the treatment was developed at UPMC magee-womens hospital for initial use in gynecologic cancers and treating it for colon cancer is new territory. For that reason I will share the doctor's name with you in case anyone is interested in contacting this doctor for this sort of treatment. His name is Dr. Brian Karlovitz and he is in UPMC Shadyside Hospital in Pittsburgh Pennsylvania. Any one who wants to message me with any questions please feel free to.

Re: New plan for para aortic lymph nodes. No surgery, radiation instead

Posted: Fri Oct 19, 2018 9:27 am
by Punky44
Thank you for sharing. Praying for an excellent outcome!

Re: New plan for para aortic lymph nodes. No surgery, radiation instead

Posted: Fri Oct 19, 2018 11:43 am
by stu
All the very best . Hope it works well for him ,
Stu

Re: New plan for para aortic lymph nodes. No surgery, radiation instead

Posted: Fri Oct 19, 2018 12:04 pm
by Achilles Torn
Thanks so much for the update and the helpful information. This sounds like it has a good chance to provide long term remission.

It also seems through anecdotes on this board that chemo can wipe or suppress those micro mets if they are present in other nodes.

If you want a great story about radiation and lymph node mets - search for the user “ TYtiff (I think). They don’t post anymore after being clear for 5 years.

Cheers
AT

Re: New plan for para aortic lymph nodes. No surgery, radiation instead

Posted: Sun Oct 21, 2018 3:41 pm
by gringo51
Thanks for the update. My husband has same nodes and had SBRT as well. Waiting on follow up scan. Best of luck and positive thoughts!