I thought I would put this question in a separate thread from my other one, since the topics are really different.
So I had one 5mm subcapsular liver met removed for biopsy during my initial surgery. (It was in the 7th sector.) On FOLFOX, I grew a subcapsular 5mm met in the 8th sector. I also developed two enlarged lymph nodes in the porta hepatis. None of these were biopsied, but the radiologist and my onc were pretty confident that they were cancerous. I've been on Keytruda since 12/31/198, and as of my recent scan the two nodes shrank back to normal size, but the liver lesion is apparently still the same size.
It is my understanding that they can't really tell what the composition of it is from scans. It could be necrotic tissue. It could still be alive. It may be too small to biopsy but leave in situ, I think. I feel pretty strongly that I would like to have it removed. Then we'll know for sure. My onc said something about maybe leaving it there like the canary in a coal mine. I said I don't want a canary, I want to be N E D NED! He decided to take it to the tumor board, which hopefully was yesterday. (He also said I should read about SBRT.)
So, I'm constantly reading about people having liver met resections. Has anyone had one this small? Laparoscopic? Or did you have SBRT, and if so what was left afterward? Side effects?
I'm seeing him tomorrow afternoon. Any input would be helpful.