So… my latest MRI shows two mets on the right side of my liver. One is about 3 cm and it’s way up high in the dome. The other is 6mm, lower down.
My local team in Maine and my team at Dana Farber both recommend surgical resection, giving me best chance for cure. But they disagree on the technique.
The surgeon at Maine Medical Center proposes an open surgery with wedge resection of the larger met, and either resection or RFA of the smaller one.
The surgeon at Dana Farber/ Brigham & Women’s is not sure he can achieve clear margins on the larger met if he does a wedge. So he would do a formal right hepatectomy (removal of the right lobe). This would obviously take care of the second met at the same time, plus any micromets that might be brewing.
There are pros and cons to both of these approaches. I’d love to hear your thoughts. Thanks!
Trevor (Reviresco)