My 56 y.o husband and I went to urgent care for a backache he had that wasn't going away, he does construction so we assumed it was work related, we left urgent care several hours later with the worst news, colonic mass with multiple liver lesions seen on CT scan
He was later sent for a PET scan that confirmed and then a liver biopsy to again confirm lesions were colon …and to do genetic testing, he does not have the kras mutation so he's eligible for other treatment types (I am just learning about ALL of this so if I say something incorrect i'm unaware, sorry)
He was told by the Hem/Oc Dr. he is inoperable due to the size and amounts of the liver lesions ...both lobes are involved and aside from many small both lobes have large lesions, one being 9cm..
his colon has what they referred to as an "apple core" type mass on his sigmoid colon I don't remember if they told us a size , he's not completely restricted and is still able to have bowel movements, not like he used to , but at least he's not blocked.
They said it doesn't appear to have spread elsewhere. So the game plan is to do chemo with hopes of shrinking tumors … maybe surgery if that happens otherwise chemo for life..(he said no way)
He has had the port put in his chest, and chemo has been started, we sit for 5 hours and then he wears a pump for 2 days , then it gets removed and in 2 weeks we do it again (im sure you're all familiar)
his first treatment went well, small amount of cold sensitivity from the Oxi that didn't last, and small tiredness .. they give him Decadron & Zofran then they start the treatment
it is the Folfox regimen with Oxaliplatin / Leucovorin (5fu ??)..
His second treatment (just finished today) they added Avastin to the mix.. he's had more of a stomach ache than before , don't know if its carry over hes had it off and on for a while ..or if the Avastin is adding to it, I am aware of the side affects of possible perforated bowel from Avastin so I am staying on top of his pain level temp/ etc..
we live in a small town , larger hopitals are an hour away, but they have all these satellite offices ..if that makes a difference is left to be seen.
So … a question for you would be.... does this all sound "typical?" as far as the way this is being managed ?
also for anyone with knowledge of the administration of Avastin... I have a question about dosage and infusion for the first time...message me if you do I wont waste space or time asking in this post.
Thank you if you read my post , I look forward to hearing back
Oct 2019 56 yo Husband DX'd
Stage 4 MCC
Colon thickening w/ apple core 3.9 cm area
Liver mets both lobes 10.4 x 7.6 cm & 9.3 x 7.7cm
innumerable small lesions
Oct 2019 Liver Biopsy
CEA Dec '19 . 3,028
Dec 2019-present 5FU, Avastin & Oxaliplatin
Jan '20. CEA 1861.8
Feb '20 CT mets 9.4cm x 6.5 & 8.0 x 6.7 cm
April '20 CEA 411.1
May '20 CT mets 8.6cm x 6.3 & 5.7 x 6.1 cm