Liver mets: ablation vs. surgery, pros? cons?

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hopie
Posts: 90
Joined: Fri Jan 18, 2019 12:15 pm

Re: Liver mets: ablation vs. surgery, pros? cons?

Postby hopie » Mon Mar 04, 2019 10:16 am

Ideally, her oncologist will be on board, which will make me trust her more. She ordered CEA, CA 19-9, LDH etc., which tells me she's up-to-date and willing. I will keep my fingers crossed for rising MCV levels too!

As for liver, is it chicken, beef, or pork?
Caregiver to my super-mom (62), diagnosed Dec 2018
Sigmoid colon, Stage IV
G3, Poorly differentiated adenocarcinoma (5,5 x 4 x 1 cm)
T4N2bM1
13 positive out of 23 lymph nodes, largest one 1,8 cm
4(?) mets in liver, located at Segment 3 & 7, largest one 2 cm
LVI & PNI present
Clear surgical margins
MSS, KRAS G13D mutant
Laparoscopic anterior resection, Jan 2019

First chemo 11 Feb 2019 (Folfox). 25/2/19 Folfox + Avastin.

rp1954
Posts: 1857
Joined: Mon Jun 13, 2011 1:13 am

Re: Liver mets: ablation vs. surgery, pros? cons?

Postby rp1954 » Mon Mar 04, 2019 11:32 am

This is her no.1 liver source. Bought fresh, chicken livers at home, seared or cooked. Chicken liver is very high in folate. She had a restaurant that nominally served unlimited pate, but I suspect more chicken than goose liver.

I eliminated (excess) vitamin A from her supplements so as not to interfere with vitamin D, with too much vitamin A.
watchful, active researcher and caregiver for stage IVb/c CC. surgeries 4/10 sigmoid etc & 5/11 para-aortic LN cluster; 8 yrs immuno-Chemo for mCRC; now no chemo
most of 2010 Life Extension recommendations and possibilities + more, some (much) higher, peaking ~2011-12, taper chemo to almost nothing mid 2018, IV C-->2021. Now supplements

User avatar
LPL
Posts: 651
Joined: Fri Apr 22, 2016 12:49 am
Location: Europe

Re: Liver mets: ablation vs. surgery, pros? cons?

Postby LPL » Mon Mar 04, 2019 2:59 pm

We (are in France and we) eat a lot of chicken liver in goose fat or is it duck fat? Anyway it is Yummi yummi yummi :D
DH @ 65 DX 4/11/16 CC recto-sigmoid junction
Adenocarcenoma 35x15x9mm G3(biopsi) G1(surgical)
Mets 3 Liver resectable
T4aN1bM1a IVa 2/9 LN
MSS, KRAS-mut G13D
CEA & CA19-9: 5/18 2.5 78 8/17 1.4 48 2/14/17 1.8 29
4 Folfox 6/15-7/30 (b4 liver surgery) 8 after
CT: 8/8 no change 3/27/17 NED->Jan-19 mets to lung NED again Oct-19 :)
:!: Steroid induced hyperglycemia dx after 3chemo
Surgeries 2016: 3/18 Emergency colostomy
5/23 Primary+gallbl+stoma reversal+port 9/1 Liver mets
RFA 2019: Feb & Oct lung mets

hopie
Posts: 90
Joined: Fri Jan 18, 2019 12:15 pm

Re: Liver mets: ablation vs. surgery, pros? cons?

Postby hopie » Tue Mar 05, 2019 12:07 pm

Just got some today! Today was fish day but I'll cook them this week and will let you know how they turn out :)
Caregiver to my super-mom (62), diagnosed Dec 2018
Sigmoid colon, Stage IV
G3, Poorly differentiated adenocarcinoma (5,5 x 4 x 1 cm)
T4N2bM1
13 positive out of 23 lymph nodes, largest one 1,8 cm
4(?) mets in liver, located at Segment 3 & 7, largest one 2 cm
LVI & PNI present
Clear surgical margins
MSS, KRAS G13D mutant
Laparoscopic anterior resection, Jan 2019

First chemo 11 Feb 2019 (Folfox). 25/2/19 Folfox + Avastin.


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