My eye was drawn to this because I've been trying to figure out whether the HAI pump would work on my 2 enlarged lymph nodes in the porta hepatis in addition to my tiny liver met, if keytruda doesn't work for me. I've been having a hard time finding information pertaining directly to treatment of such nodes. My oncologist considers them to be very risky to try to remove due to their location with no curative benefit in doing so, at least at this point. I am concerned that if they grow they will put pressure on the arteries/veins and bile ducts in the porta hepatis structure with obviously negative results. I know that stenting is possible, but finding some way to attack them directly the way HAI attacks liver mets would be awfully nice.
F, 64 at DX CRC Stage IV
3/17/18 blockage, r hemicolectomy
11 of 25 nodes,5 of 5 mesentery nodes
0.5 cm sub-capsular liver met removed
pT3 pN2b pM1
BRAF wild, KRAS G12D
7/9/18 CT no masses or enlarged nodes, 2mm indeterminate lung nodule
11/20/18 CT same, Lung nodule likely calcified granuloma. Enlarged spleen.
12/20/18 Liver MRI 5mm liver met and 2 lymph nodes in porta hepatis, CT review shows progression of nodes on FOLFOX