Rock_Robster wrote:That’s great news Alexandra! Thanks for sharing. Really pleased to hear about the liver and glad you’re now prioritising a surgical opinion.
Indeed below 2cm then ablation can become an option, depending on the position of the tumour. Ablation doesn’t work so well near major blood vessels. Below 2cm, ablation has been shown to about 90% as good as surgical resection (above 3cm, it’s about 10% as good). If there are several mets in one segment then they must just prefer to do an anatomical resection of that segment, but if there is a “rogue” small lesion elsewhere, or if it is very deep (which would mean losing a lot of healthy liver too), then they may prefer to ablate. If it is near the surface then a ‘wedge’ resection is also possible to avoid losing the whole segment. Often they combine ablation with resection if there are multiple mets to try to preserve as much liver as possible. Lots of tools in the arsenal, anyway.
Enjoy the chemo break and hoping you guys get some great news from the surgeon
AlexandraZ wrote:Just checking in to mention that Jesper's new scan came in after his 12th round of FOLFIRI. His lung mets are stable (biggest met is 1cm) and his liver mets have shrunk further. At diagnosis, the biggest mets were 5-6 cm. Now they are 1.8-2cm! That's over a 60% decrease in size! We're very pleased and will definitely get a second opinion to see if there is someone who thinks his liver is resectable now.
He is getting a much-needed chemo break and during the break I'll send his scans around and see what other surgeons (and what the people at MSK) think! I think I heard something about that if tumors are under 2cm you have more treatment options. Maybe RFA or something, I don't know. Anyway, just wanted to share the good news!
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